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Endoscopic Surgery versus External Ventricular Drainage Surgery for Severe Intraventricular Hemorrhage

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Abstract

The efficacy and applied value of endoscopic hematoma evacuation vs. external ventricular drainage (EVD) in the treatment of severe ventricular hemorrhage (IVH) were explored and compared. From Jan. 2015 to Dec. 2016, the clinical data of 42 cases of IVH were retrospectively analyzed, including 18 patients undergoing endoscopic hematoma evacuation (group A), and 24 patients receiving EVD (group B). The hematoma clearance rate was calculated by 3D Slicer software, and complications and outcomes were compared between the two groups. There were no significant differences in age, sex and Graeb score between groups A and B (P>0.05). The hematoma clearance rate was 70.81%±27.64% in group A and 48.72%±36.58% in group B with a statistically significant difference (P<0.05). The operative time in groups A and B was 72.45±25.26 min and 28.54±15.27 min, respectively (P<0.05). The Glasgow Coma Scale (GCS) score increased from 9.28±2.72 at baseline to 11.83±2.91 at 1 week postoperatively in group A, and from 8.25±2.62 at baseline to 10.79±4.12 at 1 week postoperatively in group B (P<0.05). The length of hospital stay was 12.67±5.97 days in group A and 17.33±8.91 days in group B with a statistically significant difference (P<0.05). The GOS scores at 6 months after surgery were 3.83±1.12 in group A, and 2.75±1.23 in group B (P<0.05). These results suggested that endoscopic hematoma evacuation has an advantage of a higher hematoma clearance rate, fewer complications and better outcomes in the treatment of severe IVH, indicating it is a safe, effective and promising approach for severe IVH.

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Author notes

  1. The authors contributed equally to this work.

Authors and Affiliations

  1. Department of Neurosurgery, the First Hospital of Wuhan, Wuhan, 430022, China

    Ping Song, Fa-liang Duan, Jing-lei Wu, Xiao-bin Chen, Yuan Wang, Cong-gang Huang, Ji-qiang Li, Zhu-qiang He, Qiao-chun Huang, Yan-gao Zhang & Ming Luo

  2. Department of Neurosurgery, Renmin Hospital of Wuhan University, Wuhan, 430060, China

    Qiang Cai

  3. Intensive Care Unit, the First Hospital of Wuhan, Wuhan, 430022, China

    Mei Liu

Authors
  1. Ping Song
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  2. Fa-liang Duan
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  3. Qiang Cai
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  4. Jing-lei Wu
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  5. Xiao-bin Chen
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  6. Yuan Wang
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  7. Cong-gang Huang
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  8. Ji-qiang Li
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  9. Zhu-qiang He
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  11. Mei Liu
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  12. Yan-gao Zhang
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  13. Ming Luo
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Corresponding author

Correspondence to Ming Luo.

Additional information

This study was funded by the Science and Technology Commission of Wuhan City (No. WX16B02) and Natural Science Foundation of Hubei Province (No. 2018CFB353).

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Song, P., Duan, Fl., Cai, Q. et al. Endoscopic Surgery versus External Ventricular Drainage Surgery for Severe Intraventricular Hemorrhage. CURR MED SCI 38, 880–887 (2018). https://doi.org/10.1007/s11596-018-1957-3

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  • DOI: https://doi.org/10.1007/s11596-018-1957-3

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