Turk Neurosurg
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To study the clinical value and efficacy of computerized tomography (CT)-monitored microinvasive craniopuncture for traumatic epidural hematoma. ⋯ Under CT surveillance, the YL-1-type disposable intracranial hematoma smash puncture needle aspiration in the treatment of traumatic epidural hematoma is a simple, fast, and accurate positioning procedure. Without craniotomy and blood transfusion, the YL-1-type disposable intracranial hematoma smash puncture needle aspiration is a safe and effective operation, but close attention is needed during the operation.
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Randomized Controlled Trial Comparative Study
Preemptive wound infiltration in lumbar laminectomy for postoperative pain: comparison of bupivacaine and levobupivacaine.
Patients usually suffer significant pain after lumbar laminectomy. Wound infiltration with local anesthetics is a useful method for postoperative pain control. Our aim was to compare the efficacies of preemptive wound infiltration with bupivacaine and levobupivacaine. ⋯ Our data suggest that preoperative infiltration of the wound site with bupivacaine or levobupivacaine provides similarly effective pain control with reduced opiate dose after unilateral lumbar laminectomy.
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Randomized Controlled Trial Comparative Study
Chronic subdural hematoma: a comparison of recurrence rates following burr-hole craniostomy with and without drains.
To compare the rates of recurrence of chronic subdural hematoma following surgical evacuation by one of two methods, namely, using frontal and parietal burr holes without a drain or a single parietal burr hole with the addition of a subdural drain. ⋯ The use of a single burr hole with drain appears to be a safe and effective procedure for the treatment of chronic subdural hematoma.
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Randomized Controlled Trial
Chronic subdural hematomas: single or double burr hole-results of a randomized study.
To analyze the analysis of recurrence rates of single versus double burr holes in patients with subacute and chronic subdural hematomas. ⋯ Most of the subdural hematomas can be dealt by single burr-hole drainage.
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Previous studies have not identified a preferred surgical technique to treat posttraumatic syringomyelia. Both syringopleural shunting and arachnoidolysis are used in neurosurgery practice for the surgical treatment of posttraumatic syringomyelia. In this study, we present a new technique designed to achieve a better outcome following surgery. ⋯ This is a report of minimal-access insertion combining syringopleural with subarachnoid-subarachnoid bypass shunt insertion. This minimally invasive technique seems to be an effective and safe method.