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Updated: Apr 18, 2026

Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation
Published on: October 15, 2021
Burr hole is not burr hole: technical considerations to the evacuation of chronic subdural hematomas
Stephan Emich1, Manfred Dollenz, Peter A Winkler
1Department of Neurosurgery, Christian Doppler Klinik, Paracelsus Medical University, Ignaz Harrer Str. 79, 5020, Salzburg, Austria, s.emich@salk.at.
Background:
The organization of a multicenter survey about chronic subdural hematomas has triggered the discussion on different surgical techniques of burr hole evacuation. Such a standard operation gives neurosurgeons plenty of scope for creating their own way.
Methods:
The procedure presented is one burr hole with a closed drainage system. In detail, each single step is enrolled: the planning of the burr hole, positioning, direction of skin incision, opening of the dura, drain positioning, channeling through the galea, and postoperative care.
Conclusions:
We present a thorough summary that could serve as a common standard and as a basis for comparison of future trials.
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