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International Journal of Neurology Research

Vol. 3, Issue 1, Part A (2021)

Thirty days complications of pediatric hydrocephalus following ventriculoperitoneal shunt surgery

Author(s):

Sukriti Das, Asifur Rahman, Haradhan Deb Nath, Rathin Halder, Dipankar Ghosh

Abstract:
Background: Ventriculoperitoneal shunt (VPS) is one of the commonest procedures in neurosurgical practice for the treatment of hydrocephalus (HCP) in pediatrics, especially in developing countries. Despite being widely used, VPS is still plagued with several complications, so needed repeated interventions. Thereby increase hospital stay, morbidity, and mortality. The majority of the complications were observed in the early postoperative period but over time, the rate of complications decreases. So we conducted this study to identify the complications within 30 days following VPS in children. Materials and Methods: This prospective interventional study was conducted in the Department of Neurosurgery, BSMMU, between January 2019 and January 2020. Children aged 1 month to 5 years, who underwent VPS surgery for the first time were included in this study. Following VPS operation, patients were given regular follow-up for one month, either through the Telephone or asked to visit the outpatients on the specified days. During follow up all patients were evaluated for shunt-related complications. Then the data were analyzed using the SPSS version 26. Results are presented in the form of tables. Results: We evaluated a total of 120 patients, during the study period, there were 75 (62.5%) males and 45 (37.5%) females with a male to female ratio approaching 1.6:1. Patients aged from 1 month to 5 years (60 months). The indications of VPs surgery were: congenital hydrocephalus in 70 (58.3%), post-infectious hydrocephalus in 15 (12.5%), hydrocephalus due to tumor in 30 (25%), and post-traumatic hydrocephalus in five (4.16%) patients. During the follow-up, complications were encountered in 30 patients (25%). Complications observed between day 1 and day 30 during follow-up were shunt malfunction (blockage, cranial or caudal migration, misplacement) 8(6.66%), shunt infections 10 (8.33%), CSF leakage 3(2.5%),ileus 5 (4.16),convulsion one(0.83%),gut perforation one (0.83%) and abdominal complications 2 ( 1.6%) among 120 patients. Conclusion: VP surgery is very porn to complications and in our study, almost every fourth case of VPS arises complications. Shunt malfunction due to blockage, infections, and abdominal wound-related complications are common earlier in pediatric patients with hydrocephalus.

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How to cite this article:
Sukriti Das, Asifur Rahman, Haradhan Deb Nath, Rathin Halder, Dipankar Ghosh. Thirty days complications of pediatric hydrocephalus following ventriculoperitoneal shunt surgery. Int. J. Neurol. Res. 2021;3(1):01-05. DOI: 10.33545/2664908X.2021.v3.i1a.7
International Journal of Neurology Research

International Journal of Neurology Research