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101122

Our Experience with The Treatment of Hydrocephalus in Infants: Endoscopic Third Ventriculostomy versus Ventriculo-Peritoneal Shunt: A retrospective Comparative Study

Article

Last updated: 04 Jan 2025

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Tags

Surgery

Abstract

Background: Hydrocephalus is the commonest pediatric neurological disorder and usually treated by cerebrospinal fluid (CSF) diversion. This diversion accomplished by third ventriculostomy or ventriculo-peritoneal shunt. However, the optimal management is still controversial. 
Aim of the work: To compare the endoscopic third ventriculostomy (ETV) to ventriculo-peritoneal (VP) shunt in management of Infantile hydrocephalus.
Patients and Methods:We conducted a retrospective analysis for 40 infants with hydrocephalus. The treatment used was CSF diversion by ETV or VP shunt.
Results: oth treatment groups were comparable regarding age, gender, cause of hydrocephalus, incidence of postoperative re-obstruction, OFC change, hematoma, revision surgery, mortality or success rate. However, the operative time was significantly reduced among ETV when compared to VP shunt group (48.80±9.13 vs 66.75±7.65 minutes, respectively). The rate of postoperative infection was significantly decreased in ETV when compared to VP shunt groups (15.0% vs 45.0% respectively). Finally, the overall mortality during postoperative one year follow up duration was 42.5% with no significant difference between ETV and VP shunt groups (35.0% vs 50.0% respectively). In addition, the overall failure rate was 50.0%, which was lower among ETV when compared to V shunt groups (35.0% vs 65.0% respectively) with no significant difference.
Conclusion: Endoscopic third ventriculostomy is effective and safe intervention for treatment of infantile hydrocephalus (for infants between 6 and 3 years of age). It is superior to VP shunt as it is associated with lower postoperative infection and shorter operation time, when compared to shunt. 

DOI

10.21608/ijma.2020.28849.1121

Keywords

Third ventricle, Ventriculostomy, Ventriculo-peritoneal, shunt, Hydrocephalus

Authors

First Name

Mohammed

Last Name

Ahmed Alhady

MiddleName

El-Gebaly

Affiliation

Neurosurgery Department, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

m.gebali@domazhermedicine.edu.eg

City

-

Orcid

-

First Name

Mohamed

Last Name

Youssef

MiddleName

-

Affiliation

Department of Neurosurgery, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

youssef200877@domazhermedicine.edu.eg

City

-

Orcid

-

Volume

2

Article Issue

3

Related Issue

16043

Issue Date

2020-07-01

Receive Date

2020-04-27

Publish Date

2020-07-01

Page Start

567

Page End

571

Print ISSN

2636-4174

Online ISSN

2682-3780

Article File

IJMA_Volume 2_Issue 3_Pages 567-571.pdf

PDF . 227.4kB

Link

https://ijma.journals.ekb.eg/article_101122.html

Detail API

https://ijma.journals.ekb.eg/service?article_code=101122

Order

12

Type

Original Article

Type Code

816

Publication Type

Journal

Publication Title

International Journal of Medical Arts

Publication Link

https://ijma.journals.ekb.eg/

MainTitle

Our Experience with The Treatment of Hydrocephalus in Infants: Endoscopic Third Ventriculostomy versus Ventriculo-Peritoneal Shunt: A retrospective Comparative Study

Details

Type

Article

Created At

22 Jan 2023