Ya.A. SHESTERIKOV¹, K.G. PETROSYAN¹, S.V. TSILINA^1,2, N.V. GOVOROVA²

 ¹ City Clinical Hospital of the first medical aid No.1, 9 Pereleta St., Omsk, Russian Federation, 644112

² Omsk state Medical University, 12 Lenina Str., Omsk, Russian Federation, 644099

Shesterikov Ya.A. — Ph. D. (medicine), Head of the Department of Neurosurgery, tel. (83812) 75-42-54, e-mail: chest.slav@mail.ru, ORCID ID 0000-0003-3095-6452

Petrosyan K.G. — Neurosurgeon, tel. (83812) 75-42-54, e-mail: petrosyan.kg@mail.ru, ORCID ID 0000-0002-7833-8023

Tsilina S.V. — Ph. D. (medicine), Anesthesiologist-Reanimatologist, assistant at the Department of Anesthesiology and Resuscitation, tel. (83812) 75-42-54, e-mail: thsilina_sv@rambler.ru, ORCID ID 0000-0002-6322-2095

Govorova N.V. — D. Sc. (medicine), Professor, Head of the Department of Anesthesiology and Resuscitation, tel. (83812) 70-74-03, e-mail: nataly12@yandex.ru, ORCID ID 0000-0002-0495-902X

To analyze the effectiveness of various methods of surgical treatment of patients with non-traumatic intracerebral hemorrhages.

Material and methods. 72 patients (Group 1) underwent non-traumatic intracerebral hematoma removal using traditional craniotomy. Endoscopic intervention was chosen as the surgical treatment method for patients of the 2nd group (60 people).

Results. It was established that the age of patients significantly influenced mortality, but in the group of endoscopic surgery this figure was lower. The degree of depression of consciousness significantly influenced the outcome, but in the second group of patients mortality was lower. The volume of intracerebral hematoma was a decisive factor in mortality: with a hematoma volume of up to 40 ml, mortality in the endoscopy group was 3.5 times lower than in the open craniotomy group. With a hematoma volume from 61 to 100 ml, mortality in both groups was very high and differed slightly.

The conclusion. The use of endoscopic techniques under the control of neuronavigation while removing non-traumatic intracerebral hematomas improved patient outcomes by reducing mortality and improving outcomes of the disease in comparison with craniotomy.

Key words: hemorrhagic stroke, intracerebral hematoma, endoscopic removal.

(For citation: Shesterikov Ya.A., Petrosyan K.G., Tsilina S.V., Govorova N.V. Comparative evaluation of the effectiveness of surgical treatment of patients with non-traumatic intracranial hemorrhage. Practical Medicine. 2018)

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