Profil Klinis dan Faktor Risiko Mortalitas pada Anak dengan Hidrosefalus di RSUD dr. Soetomo Surabaya

Ariyati, Nabila Fitri; Gunawan, Prastiya Indra; Sustini, Florentina

doi:10.14238/sp22.6.2021.364-70

Cited by 1 publication

(1 citation statement)

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“…Based on data from RSUD dr. Soetomo Surabaya from January 2014 to September 2016 it was reported that 17.97% of pediatric hydrocephalus patients experienced mortality. [3] Hydrocephalus is a clinical condition that can be prevented by modifying risk factors such as meningitis vaccination and good antenatal care, especially in cases of pediatric hydrocephalus. [4] The most common surgical intervention that has become the standard treatment strategy for hydrocephalus in the last few decades is the installation of a ventriculoperitoneal shunt (VP-Shunt).…”

Section: Introductionmentioning

confidence: 99%

A Selection of Surgical Interventions in Pediatric Hydrocephalus

Musfirah

Iskandar

2023

AANHS-J

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Introduction: Hydrocephalus is a condition in which the flow of cerebrospinal fluid is disturbed due to an imbalance between production and reabsorption or because there are obstacles along its distribution channel. The most common surgical intervention and standard strategy for treating hydrocephalus in recent years has been the placement of a shunt, particularly a ventriculoperitoneal shunt (VP-Shunt). In addition to shunt placement, endoscopic third ventriculostomy (ETV) and choroid plexus coagulation (CPC) are currently being performed simultaneously, considering that the combination of the two procedures is sufficient to provide maximum results and can even reduce the risk of failure. Method: The method of literature review is used in this study.The method chosen is preferred reporting items for systematic reviews and meta-analyses (PRISMA), which involves selecting the characteristics of literature through electronic media with database searches through the PubMed and Google Scholar sites. Patients diagnosed with hydrocephalus, both communicative and noncommunicative, with an age of 18 years; surgical intervention with a Vp-shunt; EVT with or without CPC; and a 3-month follow-up were the inclusion criteria. Result: There were 1,251 samples included in the 10 articles in this study, 7 of these articles had samples with non-communicable hydrocephalus, with the most common etiologies being post-infection and hemorrhage. The selected interventions, both Vp-Shunt and ETV with or without CPC, have a high percentage of success rates, with an average age of intervention in this study of 6 months. Conclusion: The choice of intervention in cases of hydrocephalus should be based on patient characteristics. Installation of a shunt, ETV, or ETV/CPC may et he first choice based on the etiology of the hydrocephalus, the patient’s age, and a risk assessment that takes into account the complications that may arise from the selected procedure

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Section: Introductionmentioning

confidence: 99%