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Burr hole surgical procedure is a operation in which one or more arachnoid opening and burr holes are made over both cerebral hemisphere or in the skull . These burr holes are very important to make as they facilitate the further operation because it is unsufferable to make a traditional incision with the scalpel in the skull due to the hardness of the skull , so these burr holes are made by using a saw . Making these burr cakehole requires special technique and skills to avoid any injury to the brain . A bur hollow surgical operation also helps in excuse the pressure level in the brainiac due to the fluid build up , such as blood , which can make compression of the genius tissue which can be very unsafe for the life of the patient .
When is a Burr Hole Surgery Required?
meninx are the layer of thin tissue paper that surround the brain to protect it and they contain blood vessels . A head accidental injury can shoot down these blood vessels which lead to continuous bleeding within the brain leading to accumulation of rake just below the “ Dura Mater ” or “ Dura , ” which is the outermost bed of the meninges resulting in the geological formation ofsubdural haematoma . The speed at which the parentage amass depends on the severity of the injury that causes the “ subdural haematoma ” . It also can be because of the function of anticoagulant medication , small repetitive injuries to the drumhead , consumption of excessivealcoholand age factor .
Burr Hole Surgery is necessitate to relieve the pressure in the skull because of such material body up which causes compression on the mastermind . This subdural hematoma leads to various life - threatening symptoms which are treated by the Aaron Burr hole surgery :
Other Reasons for Using Burr Hole Surgery are:
If the blood amass above the Dura layer due to a tear in different blood vessel then it make a “ epidural hematoma . ” Hematoma word simply think of a collection of stemma in a particular area which result to swelling . For the larger hematomas or square coagulum , other type of surgeries are used , such as craniotomy and craniectomy , where instead of making bur holes a large art object of bone from the skull is take away for the operating room . But that kind of surgeries have a higher rate of complications than a burr gob surgical procedure and in the main used in the case of chronic subdural hematomas .
Risks Associated with Burr Hole Surgery
in the main , all type of operating room are performed as a last resort because they are associated with some stage of risk and sometimes it often head to lasting injury or even death . The level of risks and problems from surgery look on the affected role ’s age , general wellness and the cause for surgery . Risks and tortuousness associate with the burr pickle procedure are :
Procedure: How is Burr Hole Surgery Performed?
Neurosurgeon is a doctor who is speciate in brainpower and spine surgery and perform the burr hole operation . The following stair are undertaken to perform a bur hole operating room .
By using a high-pitched - speed melodic phrase practice session , burr hole will be made in the skull . The number of burr pickle to be made on the skull depends on the requirement of the operating theatre or on the area of the brain to be debunk . So it can be only one bur hole operating room that is known as ventriculostomy or it can be multiple burr hole surgery . Multiple burr golf hole surgery is also known as craniotomy , there are 5 burr holes made on both side of the frontal , the temporal and parietal area , at least 3 cm apart from the midplane to avoid any injury in the sagittal sinus or superior longitudinal sinus .
Then the dura , which is a slender film but tough and quite strong covering over the brain will be opened by using the operative microscope and is moved aside for the residual of the burr hollow process . Meningeal arteria must be preserve from the wound while opening the dura to avoid the undesirable life - threatening result .
After the completion of the burr jam routine , the open up dura layer will be stitched back together or in some eccentric , the section is left loose and the periosteal flaps ( tabu covering of the osseous tissue ) will be set over the exposed psyche through the already made bur holes and skin will be supercede back to its emplacement by using stitch or staple and the skull will be cover in two layers .
A comprehensive head dressing is required postoperatively . Dressing and bandaging depend upon the nature of the injury .
Recovery Period After The Burr Hole Surgery
After the bur hole surgery , dressing is kept for about 5 days and there should be no leakage of cerebrospinal fluid ( CSF ) after the surgical procedure . The sentence require for recovery from bur muddle surgery vary in all the pillowcase , but a small fry shows faster recovery rate and first doing well after 6 months of the bur hole process . Some patients show good response after the operation and they start doing normal function just after a few days of the routine , so they get a discharge from the infirmary in 1 to 2 weeks ; but some patient stay unconscious after the burr hole procedure and they have to be treat in the ICU until they commence performing the normal functions properly post bur hole surgery .
Pain at the site of burr kettle of fish surgical process is generally run across after the operation . For this , over - the - return analgesic are dictate to relieve the painful sensation post bur hole surgery . Taking care of the wounds and incisions is the most authoritative thing to do after the burr hole operation to forefend any form of infection in the mind ; so antibiotics are give to the affected role for a couple of days .
Patients should take regular post - operative appointee from their health care supplier and should follow all the recommendations for good recuperation .
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