Kronik Subdural Hematom Cerrahisinde Ameliyathanenin Etkin Kullanımı Hakkındaki Görüşler

Abstract

Aim: Chronic subdural hematoma is one of the most common extracerebral hemorrhages that causes significant morbidity with increasing human life. Associations with mild head trauma are reported in 60-80% of the literature. The aim of this study is to investigate whether local and general anesthesia performed in the operation of chronic subdural hematoma patients make a difference in terms of operative time, operation cost and total times for using the operating room.Material and Methods: The records of 27 patients who were operated with diagnosis of unilateral chronic subdural hematoma between the years 2016 and 2018 in Duzce University Medical Faculty Training and Research Hospital, Neurosurgery Department were reviewed retrospectively. Age, gender, ASA score, operative time, time between entry and exit to the operating room, length of hospital stay and operating costs were recorded.Results: It was found that the operating cost and total time between entry and exit to the operating room were shorter in patients undergoing local anesthesia, and the difference between patients undergoing general anesthesia was found statistically significant (both p values are <0.001).Conclusion: In our study, a significant difference was found between the time of entrance and exit of patients who underwent local and general anesthesia. In the general anesthesia group, the costs were significantly higher. In patients with chronic subdural hematoma, local anesthesia is a more useful method in terms of efficient use of hospital operating room and reduction of operating costs. We believe that this practice will also contribute to the national economy.