Use of drains versus no drains after burr-hole evacuation of chronic subdural haematoma: a randomised controlled trial

@article{Santarius2009UseOD,
  title={Use of drains versus no drains after burr-hole evacuation of chronic subdural haematoma: a randomised controlled trial},
  author={Thomas Santarius and Peter J. Kirkpatrick and Dharmendra Ganesan and Hui-Ling Chia and Ibrahim Jalloh and Peter Smielewski and Hugh K. Richards and Hani Marcus and Richard A. Parker and Stephen J. Price and Ramez Wadie Kirollos and John D. Pickard and Peter John Hutchinson},
  journal={The Lancet},
  year={2009},
  volume={374},
  pages={1067-1073}
}

Tables from this paper

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In Reply: Subperiosteal vs Subdural Drain After Burr-Hole Drainage of Chronic Subdural Hematoma: A Randomized Clinical Trial (cSDH-Drain-Trial).
TLDR
Although the noninferiority criteria were not met, SPD insertion led to lower recurrence rates, fewer surgical infections, and lower drain misplacement rates, which suggest that SPD may be warranted in routine clinical practice.
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TLDR
It is suggested that burr hole evacuation has the best cure/complication ratio and that postoperative closed system drainage reduces postoperativeclosed system drainage.
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