Objective:

Chronic subdural hematoma usually occurs in the 6th and 7th decades of people's lives and leads to severe permanent complications and even death. Today, the most appropriate treatment for this condition has not been determined, and although cases of spontaneous absorption of the hematoma have been reported, the best treatment is surgery. There are different methods of surgery for this disease, each of which has its unique advantages and disadvantages. The present study was a comparison of open and endoscopic methods in terms of postoperative neurological symptoms, residual hematoma, recurrence, and operation time of the patients.

Material and Methods:

In this clinical trial study, 32 patients were split into two groups using endoscopic and open techniques by simple random block method. The clinical examination of the patients and the CT Scan of the patients were reviewed and the necessary information was extracted from the patient's files. For follow-up, patients were followed up by phone after 6 months of discharge from the hospital.

Results:

After spending a day in the intensive care unit, all patients had been transferred to the ward. The average duration of hospitalization and bleeding of patients was significantly lower in the endoscopic group than in the non-endoscopic group(P<0.05). The duration of surgery did not differ significantly between the two groups. The frequency distribution of history of trauma, mortality, and neurological complications in the two groups of non-endoscopic and endoscopic patients was not significantly different from each other (P>0.05). The recurrence frequency distribution in the endoscopic group was significantly lower than in the non-endoscopic group (P=0.023).

Conclusion:

Compared to the non-endoscopic procedure, the endoscopic method's recurrence rate was significantly lower