Kilpauk Keyhole Craniotomy and Endoscopic Subdural Hematoma (SDH) Evacuation with Inner Membranectomy

ABSTRACT: Keyhole Craniotomy is the latest advancement in minimal access era. Kilpauk Keyhole craniotomy (KKC) is our innovation to tackle the limitations of the traditional single burr hole endoscopic surgeries. It is applied in various neurotraumatology patients like chronic sub dural hematoma (CSDH) and chronic extra dural hematoma (CEDH). To perform KKC and assess its applications and usefulness in CSDH and other pathology. Hospital based study of a new technique. Patients with CSDH were subjected to endoscopic evacuation with KKC after consent. The KKC is helpful in minimal access neuroendoscopic surgeries. The beveling helps in easy positioning and movement of the endoscope. The Endoscopic-landing zone and Endoscopic-flowing zone of KKC are useful in ergonomic flow of instruments and in reaching the curvatures of the skull. KKC provides better access, easy instruments flow, avoids ergonomic difficulties and complete evacuation of pathology with inner membranectomy, thus providing better patient outcome and prognosis.