Endoscopic third ventriculostomy versus ventriculoperitoneal shunt in the treatment of obstructive hydrocephalus in children
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 12
Abstract
Background This study compares endoscopic third ventriculostomy (ETV) and ventriculo-peritoneal shunt (VPS) in the treatment of paediatric patients with obstructive hydrocephalus Material&Methods: Eighty five pediatric patients with obstructive hydrocephalus were studied. Patients were divided into two groups: group A (47 patients) operated by ETV with and group B (38 patients) operated by VPS with a mean follow-up of 9 months. RESULTS: Both procedures proved to be effective clinically and radiologically. In group A, spontaneous closure of stoma was the most common complication,intraoperative bleeding occurred in two cases (4.25%) and cerebrospinal fluid leakage in two case (4.25%), two cases died 4.5 months postoperatively from ventriculitis. In group B, shunt infection occurred in four cases (10.52%), Subdural collection occurred in two cases (5.26%),shunt exposure in 2 cases(5.26%), three cases died within a week postoperatively,. Endoscopic third ventriculostomy proved to be superior due to shorter duration of surgery (25 min versus 45 min), lower incidence of morbidity (10.63% versus 29%), less mortality (4.25% versus 10%), and lower incidence of procedure failure (28% versus 40%).
Authors and Affiliations
Anand Kumar Jha, Minakshi Kumari, Saurav Kumar, Anand Prakash, C. B. Sahay, (Prof) Anil Kumar
Keywords
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- EP ID EP251463
- DOI 10.9790/0853-1612094753
- Views 79
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