Original Research Article
Year: 2022 | Month: May | Volume: 9 | Issue: 5 | Pages: 1-7
DOI: https://doi.org/10.52403/ijrr.20220501
Comparative Study of Efficacy and Safety of Mini-craniotomy under Local Anaesthesia versus General Anaesthesia for Chronic Subdural Hematoma
Dr Shah Mehndi Masih1, Dr Mukesh Kumar2, Dr Ravi Kumar3, Dr Hirday Kumar4
1Junior Resident, Department of Anaesthesia, Narayan Medical College, Sasaram, Bihar, India
2Junior Resident, Department of Anaesthesia, Narayan Medical College and Hospital, Sasaram, Bihar, India
3Junior Resident, Department of Anaesthesia, Narayan Medical College and Hospital, Sasaram, Bihar, India
4Associate Professor, Department of Anaesthesia, Narayan Medical College and Hospital, Sasaram, Bihar, India
Corresponding Author: Dr Hirday Kumar
ABSTRACT
Background: Mini-craniotomy is generally better than burr whole drainage for chronic subdural hematoma (CSDH) as there are less chances of recurrence and need for re-surgery in this technique. But generally mini craniotomy is performed under general anaesthesia and this is found to be associated with post-operative complication in earlier studies. The same procedure when carried under local anaesthesia is expected to cause less post-operative complications.
Aim: To compare the efficacy and safety of min-craniotomy under general anaesthesia and local anaesthesia for CSDH.
Material & Methods: It was a retrospective study in which patients of age 50 years or higher that have undergone mini-craniotomy under general or local anaesthesia were included. Pre-operative condition, surgery duration and post-operative complications were taken from patient’s medical records and compared.
Results: Sixty patients were included in the study. Thirty-two of these patients underwent mini-craniotomy under LA and thirty-eight under GA. Improvement was better in patients who underwent the surgery under local anaesthesia than the general anaesthesia group. Post-operative complications like pneumonia and DVT (Deep Venous Thrombosis) were less frequent in local anaesthesia group.
Conclusion: Mini-craniotomy performed under local anaesthesia is found to have same efficacy than the same procedure performed under general anaesthesia. It is also found to have less chance of recurrence, reoperation and postoperative complication. So, mini-craniotomy under local anaesthesia can be better alternative for CSDH.
Keywords: Mini-craniotomy, Local anaesthesia, General anaesthesia, chronic subdural hematoma.
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