{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T23:49:32Z","timestamp":1791589772318,"version":"4.3.4"},"reference-count":13,"publisher":"Georg Thieme Verlag KG","issue":"04","license":[{"start":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T00:00:00Z","timestamp":1778198400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Asian J Neurosurg"],"published-print":{"date-parts":[[2026,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Most reported complications of surgical evacuation for chronic subdural hematoma (CSDH) are recurrence and pneumocephalus.<\/jats:p>\n                  <jats:p>We proposed the Siphon tube technique as an alternative to traditional irrigation methods to reduce recurrence after Burr\u2013Hole Craniotomy (BHC).<\/jats:p>\n                  <jats:p>In this observational study of 120 patients who underwent surgery for CSDH, we evaluated the effectiveness of this modified BHC with the Siphon technique in evacuation of hematomas, recurrence, and pneumocephalus.<\/jats:p>\n                  <jats:p>The average age of the study population was 66.41\u2009\u00b1\u200912.02 (41\u201390 years), with 112 (93.3%) men. Among co-morbidities, 75 (62.5%) were known hypertensives and 45 (37.5%) were known patients with type 2 diabetes. While 28 (23.3%) had a history of cardiac disease, two (1.7%) patients were diagnosed with chronic kidney disease. Laterality of CSDH was right-sided in 36 (30.0%). Left in 51 (42.5%) and bilateral in 33 (27.5%) patients. The average length of stay in the hospital was 3.65\u2009\u00b1\u20092.35 days. On follow-up, recurrence was observed in two (1.7%) patients and pneumocephalus in 10 (8.3%) patients. On comparison between groups based on pneumocepalus, there were no significant differences between the groups for demographic, clinical, surgical, and outcome parameters.<\/jats:p>\n                  <jats:p>In patients with CSDH, the proposed Siphon tube irrigation technique as an alternative to traditional irrigation methods during BHC promises to be effective in minimizing pneumocephalus and recurrence. Our findings should be evaluated in larger multi-center studies.<\/jats:p>","DOI":"10.1055\/s-0046-1820447","type":"journal-article","created":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T23:36:32Z","timestamp":1778283392000},"page":"772-775","source":"Crossref","is-referenced-by-count":0,"title":["Novel Siphon Tube Technique in the Surgical Evacuation of Chronic Subdural Hematoma"],"prefix":"10.1055","volume":"21","author":[{"given":"Manas","family":"Panigrahi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Krishna Institute of Medical Sciences, Secunderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Piyush","family":"Ankleshvariya","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Krishna Institute of Medical Sciences, Secunderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sudhindra","family":"Vooturi","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Krishna Institute of Medical Sciences, Secunderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,5,8]]},"reference":[{"issue":"09","key":"ref1","doi-asserted-by":"crossref","first-page":"2629","DOI":"10.1007\/s00701-021-04879-z","article-title":"Incidence of chronic subdural haematoma: a single-centre exploration of the effects of an ageing population with a review of the literature","volume":"163","author":"D J Stubbs","year":"2021","journal-title":"Acta Neurochir (Wien)"},{"issue":"02","key":"ref2","doi-asserted-by":"crossref","first-page":"107","DOI":"10.13004\/kjnt.2016.12.2.107","article-title":"Twist-drill or burr hole craniostomy for draining chronic subdural hematomas: how to choose it for chronic subdural hematoma drainage","volume":"12","author":"S J Lee","year":"2016","journal-title":"Korean J Neurotrauma"},{"issue":"02","key":"ref3","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1007\/s10143-011-0349-y","article-title":"The surgical management of chronic subdural hematoma","volume":"35","author":"A F Ducruet","year":"2012","journal-title":"Neurosurg Rev"},{"issue":"03","key":"ref4","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1016\/j.jocn.2003.09.012","article-title":"Irrigation vs. closed drainage in the treatment of chronic subdural hematoma","volume":"12","author":"F S Erol","year":"2005","journal-title":"J Clin Neurosci"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"1086645","DOI":"10.3389\/fneur.2023.1086645","article-title":"Surgical techniques for evacuation of chronic subdural hematoma: a mini-review","volume":"14","author":"B Rodriguez","year":"2023","journal-title":"Front Neurol"},{"issue":"01","key":"ref6","doi-asserted-by":"crossref","first-page":"35","DOI":"10.2739\/kurumemedj.58.35","article-title":"A comparative study of treatments for chronic subdural hematoma: burr hole drainage versus burr hole drainage with irrigation","volume":"58","author":"A Ishibashi","year":"2011","journal-title":"Kurume Med J"},{"issue":"01","key":"ref7","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1055\/s-0044-1796663","article-title":"Factors predicting recurrence and resolution of chronic SDH after surgery","volume":"20","author":"S N Vyas","year":"2025","journal-title":"Asian J Neurosurg"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1186\/s41984-025-00406-9","article-title":"Efficacy of membranectomy for the treatment of chronic subdural hematoma: an updated meta-analysis","volume":"40","author":"I M Alkhawaldeh","year":"2025","journal-title":"Egypt J Neurosurg"},{"issue":"01","key":"ref9","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1007\/s10143-023-02153-7","article-title":"Drainage versus no drainage after burr-hole evacuation of chronic subdural hematoma: a systematic review and meta-analysis of 1961 patients","volume":"46","author":"A Aljabali","year":"2023","journal-title":"Neurosurg Rev"},{"issue":"03","key":"ref10","doi-asserted-by":"crossref","first-page":"210","DOI":"10.3340\/jkns.2009.46.3.210","article-title":"Chronic subdural hematomas: a comparative study of three types of operative procedures","volume":"46","author":"J K Lee","year":"2009","journal-title":"J Korean Neurosurg Soc"},{"issue":"01","key":"ref11","doi-asserted-by":"crossref","first-page":"44","DOI":"10.3171\/jns.2003.99.1.0044","article-title":"Reduction in the number of repeated operations for the treatment of subacute and chronic subdural hematomas by placement of subdural drains","volume":"99","author":"C R Lind","year":"2003","journal-title":"J Neurosurg"},{"issue":"02","key":"ref12","first-page":"41","article-title":"Chronic subdural hematoma: comparison of two surgical techniques. Preliminary results of a prospective randomized study","volume":"49","author":"V F Muzii","year":"2005","journal-title":"J Neurosurg Sci"},{"issue":"21","key":"ref13","doi-asserted-by":"crossref","first-page":"e20291","DOI":"10.1097\/MD.0000000000020291","article-title":"Use of siphon irrigation during burr-hole craniostomy to evacuate chronic subdural hematoma: a retrospective cohort comparison study","volume":"99","author":"S Chen","year":"2020","journal-title":"Medicine (Baltimore)"}],"container-title":["Asian Journal of Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0046-1820447.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T22:56:49Z","timestamp":1791586609000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0046-1820447"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,8]]},"references-count":13,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2026,10,9]]},"published-print":{"date-parts":[[2026,12]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0046-1820447","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1793-5482","2248-9614"],"issn-type":[{"value":"1793-5482","type":"print"},{"value":"2248-9614","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,8]]}}}