| Abstrakt: |
Ventriculoperitoneal shunt (VPS) is a modern and efficient treatment, but it still presents morbidity and mortality due to complications related to the procedure. The medical records of 48 patients were reviewed and an epidemiological analysis was carried out. Among the patients 42,2% were newborns, 16% were between 28 days and 6 months, 15.6% between 6 months and 2 years, 11.1% between 2 and 12 years and 16% over 12 years, predominantly males (69%). The main etiologies included malformations (21%), neoplasia (19%) and myelomeningocele (10%). The most common symptoms before surgery were vomiting (42%), lowered level of consciousness (35%), headache (27%) and macrocrania (51% of patients younger than 2 years). The technique that precedes the procedure consists of degerming the skin, followed by placing compresses around the surgical field with OPSITE dressing and then the sterile drapes are positioned. It is believed that the method positively influences the infection rate of surgeries, which was 14.6%, consistent with literary findings in other hospitals, of 15% (take into account that this is a university training hospital, that not all surgeries were performed in the first hour and among other limitations of the study). Among the main infectious symptoms, fever (33%) and valve malfunction (44%) were observed. In addition, 42% of the patients underwent PVD revision and 31% underwent device replacement. death rate found was 10.4%, also similar to the bibliography. Longer follow-up time would be necessary for better evaluation. [ABSTRACT FROM AUTHOR] |
