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논문 기본 정보

자료유형
학술저널
저자정보
Kim Hong Bum (Department of Neurosurgery, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea) Park Jung Cheol (Department of Neurosurgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea) Ahn Jae Sung (Department of Neurosurgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea) Lee Seungjoo (Department of Neurosurgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea) Yang Kuhyun (Department of Neurosurgery, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea) Park Wonhyoung (Department of Neurosurgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea)
저널정보
대한뇌혈관외과학회 Journal of Cerebrovascular and Endovascular Neurosurgery Journal of Cerebrovascular and Endovascular Neurosurgery Vol.26 No.3
발행연도
2024.9
수록면
265 - 273 (9page)
DOI
10.7461/jcen.2024.E2023.08.001

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초록· 키워드

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Objective: We evaluated the role of subgaleal closed suction drains in postoperative epidural hematoma (EDH) and wound complications following pterional craniotomy for cerebral aneurysm.Methods: We reviewed 5,280 pterional craniotomies performed on 5,139 patients between January 2006 and December 2020. A drain was placed subgalealy and tip of drain was positioned between the bone flap and the deep temporalis. 1,637 cases (31%) had a subgaleal suction drain. We analyzed demographic and clinical variables related to EDH requiring evacuation and wound complications in patients with and without drains. Univariate and multivariate logistic regression analyses were performed to determine the associated risk factors.Results: Fourteen cases (0.27%) of EDH requiring evacuation and 30 cases (0.57%) of wound complications were identified. Univariate analysis found that drain insertion, subarachnoid hemorrhage (SAH), and operation time were associated with EDH, while drain insertion, SAH, male gender, older age, and longer operation time were associated with wound complications. Multivariate analysis found no significant association between drain use and EDH (OR=1.62, p=0.402) or wound complications (OR=1.45, p=0.342).Conclusions: Routine use of subgaleal closed suction drains may not be necessary after pterional craniotomy, as drain insertion was not associated with a reduced risk of EDH requiring evacuation or wound complications.

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