Home|Journals|Articles by Year|Audio Abstracts
 

Original Research

Med Arch. 2013; 67(1): 36-38


Ventriculoperitoneal Shunt Complications in a Developing Country: a Single Institution Experience

Qamile Morina, Fatos Kelmendi, Arsim Morina, Dukagjin Morina, Doruntina Bunjaku.




Abstract

Introduction: Shunting a hydrocephalus is among the most commonly performed neurosurgical procedures. Hydrocephalus constitute a significant medical problem in terms of urgency and treatment. Shunting of cerebrospinal fluid has dramatically reduced the morbidity and mortality of hydrocephalus, but they have potential complications that may need multiple surgical procedures during a patient’s lifespan Materials and methods: We evaluated the following individual characteristics in relation to shunt complication rates: sex, ethnicity, age at the time of the first shunt placement (1 month [neonate], 1 to 12 months [infant], 1 to 18 years [child], 18 years [adult]), hydrocephalus type (spina bifida, congenital excluding spina bifida, communicating, obstructive) and socioeconomic status. In this retrospective study 193 patients were analyzed, unfortunately 27 where lost in the procedure of follow up and 12 died this patients were excluded from studies. Results: Obstructive hydrocephalus (47.9%) was the most common diagnosis followed by communicating hydrocephalus (13.3%). Patients with ventriculoperitoneal shunt that were followed over time in 37% of cases experienced at least one surgical shunt complication during the study period and 13% of patients had multiple shunt complications. Discussion: The causes for shunt malfunction include shunt infection, obstruction, distal catheter migration, shunt disconnection etc. Neonates and children experienced the highest complication rates. By 5 years of follow–up almost half of the children required a repeat surgical procedure. Children with obstructive hydrocephalus experienced the greatest risk of needing an initial shunt revision. Conclusion: Ventriculoperitoneal shunts constitute a significant medical problem, in terms of both urgency of treatment and economic costs. In conclusion, young infants are at highest risk for CSF shunt revision.

Key words: hydrocephalus, shunt infection, shunt complication.






Full-text options


Share this Article


Online Article Submission
• ejmanager.com




ejPort - eJManager.com
Refer & Earn
JournalList
About BiblioMed
License Information
Terms & Conditions
Privacy Policy
Contact Us

The articles in Bibliomed are open access articles licensed under Creative Commons Attribution 4.0 International License (CC BY), which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.