Evaluation of Ventriculoperitoneal Shunt Surgery Through Conventional and Ventriculoscopic Technique

Sahu, Anurag; Shende, Neeraj; Singh, Kulwant; Sharma, Vivek

doi:10.14260/jemds/2017/33

Cited by 1 publication

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“…Our finding is consistent with a study by Hermann 25 and also with another study of the coauthor. 26 But to recommend the routine use navigation system for the insertion shunt, we need a multicentric study with large sample size. Ambekar et al 27 and Kamat et al 28 showed in their study that patients with increased protein levels in CSF are at a high risk of VP shunt blockage.…”

Section: Discussionmentioning

confidence: 99%

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A Prospective Study and Analysis of Ventriculoperitoneal Shunt Surgery: Their Indication and Complication in a Single Tertiary Care Center

Pal

Dhar

Sahu

et al. 2021

Indian Journal of Neurosurgery

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Background Ventriculoperitoneal (VP) shunt insertion is routinely performed for the treatment of hydrocephalus due to different indications like congenital, infective, tumor, posttraumatic, and normal pressure hydrocephalus (NPH). A lot of common and rare complications following this procedure have been reported. Objectives To analyze the clinical profile, indications, anesthetic, and postoperative complications for VP shunt surgery in our center. Materials and Methods This prospective clinical review study was conducted in the Department of Neurosurgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi, between October 2018 to January 2020 and included 454 cases of hydrocephalus who underwent VP shunt surgery. The data was compiled and analyzed. Results A total of 454 patients with male predominance were studied. Pediatric and adolescent patients were 48.9% (222/454). Obstructive hydrocephalus due to tumors was the etiology of 48.7% (221/454) cases. The incidence of overall shunt complications was 9.7% (44/454), of which obstruction and infection was 5.9% (27/454) and 3.1% (14/454), respectively. Factors associated with increased shunt complications include redo and infective etiology and cases having higher protein in perioperative cerebrospinal fluid (CSF) analysis. Neuronavigation, antibiotic-impregnated shunt and biventricular shunt are associated with lower complications. Conclusion Obstructive hydrocephalus due to tumors happened to be the most common cause of VP shunt, and shunt obstruction is most common complication, especially in infective and redo cases.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A Prospective Study and Analysis of Ventriculoperitoneal Shunt Surgery: Their Indication and Complication in a Single Tertiary Care Center

Pal

Dhar

Sahu

et al. 2021

Indian Journal of Neurosurgery

Self Cite

View full text Add to dashboard Cite

show abstract

Evaluation of Ventriculoperitoneal Shunt Surgery Through Conventional and Ventriculoscopic Technique

Abstract: BACKGROUNDAims & Objective-To compare the position of ventricular end between conventional and Ventriculoscope guided technique.

Cited by 1 publication

References 12 publications

A Prospective Study and Analysis of Ventriculoperitoneal Shunt Surgery: Their Indication and Complication in a Single Tertiary Care Center

A Prospective Study and Analysis of Ventriculoperitoneal Shunt Surgery: Their Indication and Complication in a Single Tertiary Care Center

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