| Autor: |
Afornali, Sandrieli, Beraldo, R. Fedatto, Maeda, A. Keijiro, Mattozo, C. Alberto, Brito, R. Nascimento, Ergen, Anil, Pereira, M. Charles, Chaurasia, Bipin |
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| Zdroj: |
Child's Nervous System; May2024, Vol. 40 Issue 5, p1525-1531, 7p |
| Abstrakt: |
Background: The ventriculoperitoneal shunt (VPS) is the gold-standard surgical technique to treat hypertensive hydrocephalus; however, it may fail in 20 to 70% of cases. The present study shows an alternative for patients with contraindications to VPS. Methods: A case series of nine patients. The medical records of all patients under 17 years of age who underwent ventriculo-gallbladder (VGB) shunt at a pediatric hospital from January 2014 to October 2022 were reviewed. Results: There were 6 (66.7%) males and 3 (33.3%) females. The average age of 73.6 months or 6.1 years at the time of surgery. They had undergone, on average, 5.1 VPS reviews before the VGB shunt. Five (55.5%) had complications of VGB shunt: infection (11.1%), atony (11.1%), hypodrainage (11.1%), and ventriculoenteric fistula (22.2%); all these patients got better at surgical reapproach, and in two of them, the VGB shunt was re-implanted. Conclusion: This case series shows a lower risk of death and a similar risk of complications compared to other alternative shunts. This article spotlighted VGB as a viable alternative when VPS fails or has contraindications. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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