Ventriculoperitoneal shunt infection rate and other associated complications of VP shunt insertion in Abuja, Nigeria.

Autor: Ayogu OM; Division of Neurosurgery, Department of Surgery, National Hospital Abuja, Plot 132 Central Business District (Phase II) PMB 425, Garki, Abuja, F.C.T, Nigeria., Igbokwe KK; Division of Neurosurgery, Department of Surgery, National Hospital Abuja, Plot 132 Central Business District (Phase II) PMB 425, Garki, Abuja, F.C.T, Nigeria., Jabir KM; Division of Neurosurgery, Department of Surgery, National Hospital Abuja, Plot 132 Central Business District (Phase II) PMB 425, Garki, Abuja, F.C.T, Nigeria., Onobun ED; Wellington Clinics Abuja, 10 Vanern Crescent, Maitama Abuja, Nigeria., Okpata CI; Division of Neurosurgery, Department of Surgery, National Hospital Abuja, Plot 132 Central Business District (Phase II) PMB 425, Garki, Abuja, F.C.T, Nigeria., Ugwuanyi U; Division of Neurosurgery, Department of Surgery, National Hospital Abuja, Plot 132 Central Business District (Phase II) PMB 425, Garki, Abuja, F.C.T, Nigeria., Ekpendu I; Division of Neurosurgery, Department of Surgery, National Hospital Abuja, Plot 132 Central Business District (Phase II) PMB 425, Garki, Abuja, F.C.T, Nigeria., Essiet EA; Division of Neurosurgery, Department of Surgery, National Hospital Abuja, Plot 132 Central Business District (Phase II) PMB 425, Garki, Abuja, F.C.T, Nigeria.
Jazyk: angličtina
Zdroj: World neurosurgery: X [World Neurosurg X] 2024 Mar 02; Vol. 23, pp. 100332. Date of Electronic Publication: 2024 Mar 02 (Print Publication: 2024).
DOI: 10.1016/j.wnsx.2024.100332
Abstrakt: Background: Complications associated with ventriculoperitoneal shunt insertion constitute a significant cause of morbidity and mortality among hydrocephalus patients. Despite this, VP shunt placement has remained the mainstay of treatment for hydrocephalus. The aim of this study is to evaluate the complications of VP shunt surgery in our environment and to identify the risk factors associated with it.
Methodology: Patients who had VP shunt surgery over a period of two years (Jan 2015-December 2016) were evaluated retrospectively by reviewing their hospital records. The patients' demography, aetiology and clinical presentation of the hydrocephalus, and complications were analysed using SPSS version 26.0. Results were presented in tables and figures.
Results: A total of 69 patients who had VP shunt over the study period had complete medical records available for review. Their age ranged between 2days and 68years with a male to female ratio of 1.8:1. Overall complication rate was 30.4%. Shunt malfunction (11.5%) and shunt infection (7.2%) were the commonest complications recorded. Late presentation was the most important risk factor for shunt complications.
Conclusion: The rate of shunt complications seen in this study compares fairly with studies in other parts of the world.
Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(© 2024 The Authors.)
Databáze: MEDLINE