BURRHOLE

Burrhole is a surgical procedure where a hole is drill into a human skull to expose the dura mater (selaput otak.). It is a common life saving procedure and its important in treating a condition like subdural haemorrhage. (pendarahan pada selaput otak.). This is not a modern procedure, as it was dated back from 6500 BC. At that time, burrhole was practiced as a cure for various ailments, including seizures and skull fracture.
Recently, i had performed a burrhole in a patient with subdural haemorrhage.
The techniques as follows:

(Notis: Identiti pesakit telah dirahsiakan, dan bahagian muka pesakit telah dihitamkan).


Getting ready: the equipment (sorry, gambar menegak).


Marking the incision site. (garisan yang tidak putus).


Cleaning the area with an antiseptic solution.


Covering the area with a sterile towel (draping).


Giving a local anaesthesia (bius setempat).


Making an incision over the SCALP (kulit kepala).


Exposing the skull.




Lets start drilling..


Drilled skull, showing the duramater




Sucking out the blood clots after incising the dura mater.


Procedure completed.

Question: Basic Surgical Science Examination (BSSE).
Soalan: Peperiksaan Sains Asas Pembedahan.

What are the layers of SCALP.? (20 marks).
Apakah lapisan-lapisan kulit kepala? (20 markah).