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KMID : 1001920040350010088
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Journal of Korean Neurosurgical Society
2004 Volume.35 No. 1 p.88 ~ p.90
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External Ventricular Drainage System with Long Subcutaneous Tunnel
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Hur Chang-Wook
Kim Seong-Ho
Kim Sang-Woo
Chang Chul-Hoon
Choi Byung-Yearn
Cho Soo-Ho
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Abstract
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Objective :The goal of this study is to introduce a new method of external ventricular drainage system to reduce the complications of infections by making a long subcutaneous tunnel.
Methods : Between January 2002 and March 2003, 59 cases of ventriculostomy including 44 cases of short subcutaneous tunnel and 15 cases of long subcutaneous tunnel were performed and analysed. Subarachnoid hemorrhage and intraventricular hemorrhage were major indications for ventriculostomy.
Results : No infection was noted in the group of 15 patients with long subcutaneous tunnel. Whereas, 6 cases(13.6%) of infection was diagnosed in the group of 44 patients with short subcutaneous tunnel. The ventriculostomy was kept maximally for 11(mean 7.4)days without infection in the patients with long subcutaneous tunnel.
Conclusion : To red ace the infection as a complication of ventriculostomy, we devise a new drainage system that involves the long subcutaneous tunnel.
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KEYWORD
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External ventricular drainage(EVD), Long subcutaneous tunnel, Ventriculitis
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