Comparison Result, Endoscopic VS Open Craniotomy remove blood clot In Hypertensive Hemorrhage Patients at Chaiyaphum Hospital

Abstract

Intracerebral hemorrhage is the common disease in patients which had risk factors such as hypertension, chronic alcohol drinking, diabetes mellitus, dyslipidemia. The main treatment is open craniotomy to remove blood clot. Recently, Removal blood clot by endoscopy is the new treatment option which is better in visualization that can be useful in operation.

Objective: 1) To study the effectiveness of endoscopic surgery. 2) To study the advantages and disadvantages of 2 types of surgery 3) To improve the treatment of hypertensive hemorrhage patients

Method: In this research, there are comparison outcome between Removal blood clot by endoscopy and open craniotomy for removal of blood clot in 42 patients, Endoscopy group n = 11, open craniotomy group n = 31.

Result: Removal blood clot by endoscopy has superior in outcome than open craniotomy for removal blood clot rate 89%, blood loss 122.72 ml, operative time 66.81 minutes, no postoperative complication and increase survival rate. Conclusion, Removal blood clot by endoscopy have better outcome than open craniotomy for removal blood clot.

Conclusion: Removal blood clot by endoscopy demonstrated better result in remove hematoma, decrease in postoperative complication, operative time, decrease blood loss, decrease mortality rate and improve in survival rate better than open craniotomy