The reasons for reoperations after surgery for acute subdural hematoma and the implications of suspected injury mechanisms

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00159816%3A_____%2F20%3A00074071" target="_blank" >RIV/00159816:_____/20:00074071 - isvavai.cz</a>

Alternative codes found

RIV/00216224:14110/20:00117351

Result on the web

<a href="https://www.prolekare.cz/casopisy/soudni-lekarstvi/2020-4-17/the-reasons-for-reoperations-after-surgery-for-acute-subdural-hematoma-and-the-implications-of-suspected-injury-mechanisms-125378" target="_blank" >https://www.prolekare.cz/casopisy/soudni-lekarstvi/2020-4-17/the-reasons-for-reoperations-after-surgery-for-acute-subdural-hematoma-and-the-implications-of-suspected-injury-mechanisms-125378</a>

DOI - Digital Object Identifier

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Result language

angličtina

Original language name

The reasons for reoperations after surgery for acute subdural hematoma and the implications of suspected injury mechanisms

Original language description

Study aim: The primary aim is to analyze the relationship between the reasons for reoperation after surgery for acute subdural hematoma and the injury mechanism and secondarily the relationship between the acute subdural hematoma primarily operated on and the area of reoperation. Methods: Among adult patients operated on for acute subdural hematoma between 2013 and 2017, patients reoperated within 14 days were identifi ed. Injury mechanisms, reasons for reoperation, and reoperated lesion location were studied. Results: Of 86 patients operated on for acute subdural hematoma, 24 patients were reoperated (27.9%). The main indications for reoperation after uncomplicated falls as injury cause (12 patients) were recurrent/signifi cant residual subdural hematoma (7 patients) and contralateral subdural hematoma (3 cases). In complicated falls (long staircase, 3 patients), the reasons for reoperation were expansive intrapa-renchymal hematoma or brain contusion. In traffi c accidents (4 patients, 3 pedestrians hit by cars), the reason for reoperations was brain contusion (two cases), contralateral intracerebral and subdural hematoma and postoperative epidural hematoma. Injury mechanism was unknown in 5 patients. In 20.8% of reoper-ations, the reoperated lesion (mainly subdural hematoma) was contralateral to the primary subdural hematoma. Prognosis was worse in reoperated patients. Conclusions: Recurrent/signifi cant residual subdural hematomas are the most frequent reasons for reoperation after acute subdural hematoma surgery. The reasons for reoperations are related to the mechanism of injury. Simple falls are associated mainly with recurrent/signifi cant residual or contralateral subdural hematomas. In complicated falls or traffi c accidents (vigorous injuring force) hemorrhagic injuries of the brain parenchyma prevail.

Czech name

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Czech description

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Type

J_ost - Miscellaneous article in a specialist periodical

CEP classification

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OECD FORD branch

30100 - Basic medicine

Project

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Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2020

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Česko-slovenská patologie a Soudní lékařství

ISSN

1210-7875

e-ISSN

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Volume of the periodical

65

Issue of the periodical within the volume

4

Country of publishing house

CZ - CZECH REPUBLIC

Number of pages

5

Pages from-to

79-83

UT code for WoS article

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EID of the result in the Scopus database

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