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

Kód výsledku v 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>

Nalezeny alternativní kódy

RIV/00216224:14110/20:00117351

Výsledek na webu

<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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Jazyk výsledku

angličtina

Název v původním jazyce

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

Popis výsledku v původním jazyce

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.

Název v anglickém jazyce

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

Popis výsledku anglicky

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.

Druh

J_ost - Ostatní články v recenzovaných periodicích

CEP obor

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OECD FORD obor

30100 - Basic medicine

Projekt

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Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2020

Kód důvěrnosti údajů

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

Název periodika

Česko-slovenská patologie a Soudní lékařství

ISSN

1210-7875

e-ISSN

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Svazek periodika

65

Číslo periodika v rámci svazku

4

Stát vydavatele periodika

CZ - Česká republika

Počet stran výsledku

5

Strana od-do

79-83

Kód UT WoS článku

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EID výsledku v databázi Scopus

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