Outcome Analysis of Patients of Congenital Hydrocephalus with Ventriculoperitoneal Shunt at a Tertiary Care Hospital in North India
| Autor: | Monika Bawa, Santosh Kumar Mahalik, Vedarth Dash, K. L. N. Rao |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Male
Reoperation medicine.medical_specialty Outcome analysis India North india Ventriculoperitoneal Shunt Neurosurgical Procedures Congenital hydrocephalus Tertiary Care Centers 03 medical and health sciences 0302 clinical medicine Postoperative Complications medicine Ventriculitis Humans Retrospective Studies business.industry Infant Newborn Infant General Medicine medicine.disease Surgery Shunt (medical) Hydrocephalus Neurosurgical Procedure Patient Outcome Assessment 030220 oncology & carcinogenesis Pediatrics Perinatology and Child Health Female Neurology (clinical) Complication business 030217 neurology & neurosurgery |
| Zdroj: | Pediatric neurosurgery. 54(4) |
| ISSN: | 1423-0305 |
| Popis: | Introduction: Ventriculoperitoneal (VP) shunt is a commonly performed neurosurgical procedure in pediatric surgical practice. This study is aimed at determining the outcome of congenital hydrocephalus patients who underwent shunt surgery at our center. Materials and Methods: A total of 278 operated cases of congenital hydrocephalus with a minimum follow-up of 6 months were analyzed in terms of complications. Hydrocephalus associated with intracranial hemorrhage, neural tube defects, and ventriculitis were excluded from the study. Results: Complications were observed in 32.0% (89/278) of cases. Shunt block and chamber migration were the most common complications (29.21%). Abdominal wound complications were seen in 4.49% of cases. Shunt exposure due to erosion of overlying skin was noted in 6 patients. Shunt infection was diagnosed in only 9 patients (4.4%). New-onset seizures were seen in 4 cases. Overall, 21% of patients required redo shunt and there were 2 mortalities. Conclusion: VP shunt continues to have high complication rates. Shunt migration and new-onset seizure disorders are important late complications. In spite of inherent problems, shunt surgery is the procedure of choice until a safer effective alternative is available. |
| Databáze: | OpenAIRE |
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