سامانه مدیریت نشریات علمی دانشگاه علوم پزشکی مشهد

Keykhosravi, Ehsan, Rezaee, Hamid, Samini, Fariborz, Ganjeifar, Babak, Abouei Mehrizi, Mohammad Ali, Toutounchian, Nafiseh, Hasanpour, Mohammad. (1402). Evaluating the Results of Ventriculoperitoneal Shunt Surgery in Pediatric Patients. , 11(4), 17599-17605. doi: 10.22038/ijp.2023.70230.5176
Ehsan Keykhosravi; Hamid Rezaee; Fariborz Samini; Babak Ganjeifar; Mohammad Ali Abouei Mehrizi; Nafiseh Toutounchian; Mohammad Hasanpour. "Evaluating the Results of Ventriculoperitoneal Shunt Surgery in Pediatric Patients". , 11, 4, 1402, 17599-17605. doi: 10.22038/ijp.2023.70230.5176
Keykhosravi, Ehsan, Rezaee, Hamid, Samini, Fariborz, Ganjeifar, Babak, Abouei Mehrizi, Mohammad Ali, Toutounchian, Nafiseh, Hasanpour, Mohammad. (1402). 'Evaluating the Results of Ventriculoperitoneal Shunt Surgery in Pediatric Patients', , 11(4), pp. 17599-17605. doi: 10.22038/ijp.2023.70230.5176
Keykhosravi, Ehsan, Rezaee, Hamid, Samini, Fariborz, Ganjeifar, Babak, Abouei Mehrizi, Mohammad Ali, Toutounchian, Nafiseh, Hasanpour, Mohammad. Evaluating the Results of Ventriculoperitoneal Shunt Surgery in Pediatric Patients. , 1402; 11(4): 17599-17605. doi: 10.22038/ijp.2023.70230.5176

Evaluating the Results of Ventriculoperitoneal Shunt Surgery in Pediatric Patients

International Journal of Pediatrics
مقاله 6، دوره 11، شماره 4، تیر 2023، صفحه 17599-17605    اصل مقاله (278.63 K)
نوع مقاله: original article
شناسه دیجیتال (DOI): 10.22038/ijp.2023.70230.5176
نویسندگان
Ehsan Keykhosravi1؛ Hamid Rezaee1؛ Fariborz Samini1؛ Babak Ganjeifar1؛ Mohammad Ali Abouei Mehrizi2؛ Nafiseh Toutounchian2؛ Mohammad Hasanpour* 3
1Neurosurgery Department, Mashhad University of Medical Sciences, Mashhad, Iran.
2Neurosurgery Department, Mashhad University of Medical Sciences, Mashhad, Iran
3Division of Vascular and Endoovascular Neurosurgery, Firoozgar Hospital, Faculty of medicine, Iran university of medical science, Tehran, Iran
چکیده
Background: Surgical placement of ventriculoperitoneal (VP) shunt constitutes the most common surgical treatment for hydrocephalus in pediatric patients. However, complications of VP shunt surgery are associated with increased mortality and morbidity. We aimed to investigate the results of ventriculoperitoneal shunt placement surgery in pediatric patients.
Methods: This is a single-center retrospective study performed from the 21st of March 2018 to the 21st of March 2022 in the neurosurgery ward of Akbar pediatric hospital, Mashhad, Iran. All pediatric patients undergoing ventriculoperitoneal shunt placement surgery with hydrocephalus were evaluated and followed.
Results: In total, 192 patients, including 107 males (56.6%), with a mean age of 58.85 ± 41.16 months, were studied. The mean follow-up period was 26.53 ± 13.61 months. Hydrocephalus was idiopathic in the majority of patients (86.5%). The most frequent indication for surgery was brain tumor (47.7%). Cognitive, verbal, and motor development were normal in 84.5%, 72.7%, and 41.8% of cases. Shunt infection and dysfunction occurred in 8.8% and 18.2% during the follow-up period, respectively. The overall mortality rate was 23.4%.
Conclusion: Our study provides valuable insights into the prevalence of complications and outcomes of VP shunt surgery in pediatric patients with hydrocephalus in northeastern Iran. Further research is warranted for developing measures to prevent or reduce the prevalence of these complications.
کلیدواژه‌ها
Hydrocephalus,,؛ ,،Ventriculoperitoneal shunt,,؛ ,،Surgery
مراجع
  1. Dewan MC, Rattani A, Mekary R, Glancz LJ, Yunusa I, Baticulon RE, et al. Global hydrocephalus epidemiology and incidence: systematic review and meta-analysis. J Neurosurg. 2018:1-15.
  2. Kestle JR, Riva-Cambrin J, Wellons JC, 3rd, Kulkarni AV, Whitehead WE, Walker ML, et al. A standardized protocol to reduce cerebrospinal fluid shunt infection: the Hydrocephalus Clinical Research Network Quality Improvement Initiative. J Neurosurg Pediatr. 2011; 8(1):22-9.
  3. Gavrilov GV, Gaydar BV, Svistov DV, Korovin AE, Samarcev IN, Churilov LP, et al. Idiopathic Normal Pressure Hydrocephalus (Hakim-Adams Syndrome): Clinical Symptoms, Diagnosis and Treatment. Psychiatr Danub. 2019; 31(Suppl 5):737-44.
  4. Sato O, Yamguchi T, Kittaka M, Toyama H. Hydrocephalus and epilepsy. Childs Nerv Syst. 2001; 17(1-2):76-86.
  5. DeSpenza T, Jr., Carlson M, Panchagnula S, Robert S, Duy PQ, Mermin-Bunnell N, et al. PTEN mutations in autism spectrum disorder and congenital hydrocephalus: developmental pleiotropy and therapeutic targets. Trends Neurosci. 2021; 44(12):961-76.
  6. Oliveira LM, Nitrini R, Román GC. Normal-pressure hydrocephalus: A critical review. Dement Neuropsychol. 2019; 13(2):133-43.
  7. De Sanctis P, Green S, Germano I. Communicating hydrocephalus after radiosurgery for vestibular schwannomas: does technique matter? A systematic review and meta-analysis. J Neurooncol. 2019; 145(2):365-73.
  8. O'Connor KP, Pelargos PE, Milton CK, Peterson JEG, Bohnstedt B. Cryptococcal Choroid Plexitis and Non-Communicating Hydrocephalus. Cureus. 2020; 12(6):e8512.
  9. Ghosh S, Lippa C. Diagnosis and prognosis in idiopathic normal pressure hydrocephalus. Am J Alzheimers Dis Other Demen. 2014; 29(7):583-9.
  10. Abode-Iyamah KO, Khanna R, Rasmussen ZD, Flouty O, Dahdaleh NS, Greenlee J, et al. Risk factors associated with distal catheter migration following ventriculoperitoneal shunt placement. J Clin Neurosci. 2016; 25:46-9.
  11. Reddy GK, Bollam P, Caldito G. Long-term outcomes of ventriculoperitoneal shunt surgery in patients with hydrocephalus. World Neurosurg. 2014; 81(2):404-10.
  12. Park YS, Park IS, Park KB, Lee CH, Hwang SH, Han JW. Laparotomy versus Laparoscopic Placement of Distal Catheter in Ventriculoperitoneal Shunt Procedure. J Korean Neurosurg Soc. 2010; 48(4):325-9.
  13. Attenello FJ, Garces-Ambrossi GL, Zaidi HA, Sciubba DM, Jallo GI. Hospital costs associated with shunt infections in patients receiving antibiotic-impregnated shunt catheters versus standard shunt catheters. Neurosurgery. 2010; 66(2):284-9; discussion 9.
  14. Tamber MS. Insights into the epidemiology of infant hydrocephalus. Childs Nerv Syst. 2021; 37(11):3305-11.
  15. Reddy GK, Bollam P, Caldito G. Ventriculoperitoneal shunt surgery and the risk of shunt infection in patients with hydrocephalus: long-term single institution experience. World Neurosurg. 2012; 78(1-2):155-63.
  16. Oh J, Liu K, Medina T, Kralick F, Noh HM. A novel microneedle array for the treatment of hydrocephalus. Microsyst Technol. 2014; 20(6):1169-79.
  17. Gutiérrez-González R, Boto GR, Pérez-Zamarrón A. Cerebrospinal fluid diversion devices and infection. A comprehensive review. Eur J Clin Microbiol Infect Dis. 2012; 31(6):889-97.
  18. Flannery AM, Mitchell L. Pediatric hydrocephalus: systematic literature review and evidence-based guidelines. Part 1: Introduction and methodology. J Neurosurg Pediatr. 2014; 14 Suppl 1:3-7.
  19. Gruber TJ, Riemer S, Rozzelle CJ. Pediatric neurosurgical practice patterns designed to prevent cerebrospinal fluid shunt infection. Pediatr Neurosurg. 2009; 45(6):456-60.
  20. Wilson TJ, Stetler WR, Jr., Al-Holou WN, Sullivan SE. Comparison of the accuracy of ventricular catheter placement using freehand placement, ultrasonic guidance, and stereotactic neuronavigation. J Neurosurg. 2013; 119(1):66-70.
  21. Sacar S, Turgut H, Toprak S, Cirak B, Coskun E, Yilmaz O, et al. A retrospective study of central nervous system shunt infections diagnosed in a university hospital during a 4-year period. BMC Infect Dis. 2006; 6:43.
  22. Pan P. Outcome Analysis of Ventriculoperitoneal Shunt Surgery in Pediatric Hydrocephalus. J Pediatr Neurosci. 2018; 13(2):176-81.
  23. Rush J, Paľa A, Kapapa T, Wirtz CR, Mayer B, Micah-Bonongwe A, et al. Assessing neurodevelopmental outcome in children with hydrocephalus in Malawi. A pilot study. Clin Neurol Neurosurg. 2022; 212:107091.
  24. Sobana M, Halim D, Aviani JK, Gamayani U, Achmad TH. Neurodevelopmental outcomes after ventriculoperitoneal shunt placement in children with non-infectious hydrocephalus: a meta-analysis. Childs Nerv Syst. 2021; 37(4):1055-65.
 

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