Comparison of different endoscopic techniques for the treatment of hydrocephalus in children
| Autor: | Sırma Geyik, Murat Geyik, Adem Dogan |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Surgical results
medicine.medical_specialty Obstructive hydrocephalus Ventriculoperitoneal Shunt Ventriculostomy Surgical methods medicine Humans In patient Child Retrospective Studies Third Ventricle business.industry Endoscopic third ventriculostomy Infant Endoscopy medicine.disease Surgery Hydrocephalus Shunting Treatment Outcome Child Preschool Neuroendoscopy Female Neurology (clinical) business Shunt (electrical) |
| Zdroj: | Turkish Neurosurgery. |
| ISSN: | 1019-5149 |
| Popis: | AIM Hydrocephalus is an important health problem in children. Shunt is the most common and traditional treatment method and endoscopic third ventriculostomy (ETV) is an option for obstructive hydrocephalus. The aim of this study is to present our series of hydrocephalus treated by different endoscopic techniques and to compare the surgical outcomes. MATERIAL AND METHODS A total of 61 patients underwent endoscopic approach for the treatment of hydrocephalus over a 5 years-period. Forty-six patients were children. Three different surgical techniques (ETV, ETV plus shunting and simultaneous ETV+Aqueductoplasty) were used in these patients. Surgical results were statistically analyzed based on the age, gender and type of surgery. RESULTS Among the 46 children, 24 (52.17%) were female and 22 were male with a mean age of 25.33 months. Twenty one (45.65%) children underwent ETV alone, 19 underwent ETV plus ventriculoperitoneal shunt and 6 underwent simultaneous ETV and aqueductoplasty. Five (10.87%) children died during the follow-up period. There was no correlation between the type of surgery and the age of patient. No statistically significant difference was found between the procedures in both sexes and no statistically significant difference was found between the surgical techniques in terms of complications. CONCLUSION ETV alone is the safest method for the treatment of hydrocephalus in children. Mortality is higher in patients younger than 12 months who underwent combined surgical methods instead of ETV alone. |
| Databáze: | OpenAIRE |
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