Mortality rate after craniotomy for intracerebral hemorrhage

Cerebral hemorrhage is a relatively serious disease, which often leads to serious complications, such as hemiplegia, aphasia, intellectual impairment, etc. If the cerebral hemorrhage is severe, it will often cause the patient to be in a coma for a long time and increase intracranial pressure. At this time, if craniotomy is not performed in time, it may lead to the death of the patient. However, the risk of craniotomy is also relatively high, and the mortality rate is also relatively high.

Is craniotomy necessary for cerebral hemorrhage?

Cerebral hemorrhage is a common and frequently occurring disease that seriously endangers human health. It is characterized by high morbidity, high disability rate, high mortality rate and high recurrence rate. Jiamusi is a cold region, and cerebral hemorrhage has become the leading cause of death. In addition, in recent years, with the development of the transportation and construction industries, the incidence of traumatic intracranial hemorrhage has increased sharply, with more than 500,000 new cases each year.

Does cerebral hemorrhage require craniotomy? This is a question that is often asked by the families of patients with cerebral hemorrhage, and it is also the issue that they are most concerned about. In fact, doctors who are not specialized in neurosurgery may not fully understand it. Except for some cerebral hemorrhages with small amount of bleeding and good condition who can be treated conservatively, many require surgical treatment. The surgical methods include large bone flap hematoma removal and small bone window hematoma removal. Both surgical methods require craniotomy, which causes great trauma, serious sequelae, and high cost, which are difficult for many patients' families to accept.

Minimally invasive removal of intracranial hematoma

Now, there is a new surgical method to solve this situation. The minimally invasive removal technology of intracranial hematoma has provided neurosurgeons with new treatment tools since its introduction in 1997. The main feature of this new treatment is the use of minimally invasive technology, without the need for surgery. Under local anesthesia, a 3.2 mm diameter puncture needle is used to enter the hematoma, and then biochemical enzyme technology is used to liquefy the hematoma to achieve the treatment goal. The operation is usually completed within half an hour and is not limited by the patient's age or hematoma size.

The oldest patient treated was 79 years old, the youngest was only 40 days old, and the maximum amount of bleeding was 110 ml. The mortality rate was reduced by more than 25% compared with traditional craniotomy treatment, the quality of life was also significantly improved, and the cost of treatment was greatly reduced, which greatly reduced the economic burden on patients, especially rural patients. Minimally invasive hematoma removal has brought good news to the majority of patients with cerebral hemorrhage.

Minimally invasive surgery can not only treat cerebral hemorrhage, but also cerebellar hemorrhage, brain abscess, traumatic intracerebral hematoma, epidural hematoma, subdural hematoma, especially chronic subdural hematoma, with significant results. The operation can often be completed during a relaxed conversation with the patient. If you need to know more about this technology, please contact me.