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

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 co...

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Autores principales:	Mohammed Ahmed Alhady, Mohamed Youssef
Formato:	article
Lenguaje:	EN
Publicado:	Al-Azhar University, Faculty of Medicine (Damietta) 2020
Materias:	third ventricle ventriculostomy ventriculo-peritoneal shunt hydrocephalus Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/05f9002a79e44cb0974338d487679324
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spelling	oai:doaj.org-article:05f9002a79e44cb0974338d4876793242021-12-02T10:38:27ZOur Experience with The Treatment of Hydrocephalus in Infants: Endoscopic Third Ventriculostomy versus Ventriculo-Peritoneal Shunt: A retrospective Comparative Study2636-41742682-378010.21608/ijma.2020.28849.1121https://doaj.org/article/05f9002a79e44cb0974338d4876793242020-07-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_101122_b5d21dc21e2858a43fac4b7c3a8e7beb.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: 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.Mohammed Ahmed AlhadyMohamed YoussefAl-Azhar University, Faculty of Medicine (Damietta)articlethird ventricleventriculostomyventriculo-peritonealshunthydrocephalusMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 2, Iss 3, Pp 567-571 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	third ventricle ventriculostomy ventriculo-peritoneal shunt hydrocephalus Medicine (General) R5-920
spellingShingle	third ventricle ventriculostomy ventriculo-peritoneal shunt hydrocephalus Medicine (General) R5-920 Mohammed Ahmed Alhady Mohamed Youssef Our Experience with The Treatment of Hydrocephalus in Infants: Endoscopic Third Ventriculostomy versus Ventriculo-Peritoneal Shunt: A retrospective Comparative Study
description	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.
format	article
author	Mohammed Ahmed Alhady Mohamed Youssef
author_facet	Mohammed Ahmed Alhady Mohamed Youssef
author_sort	Mohammed Ahmed Alhady
title	Our Experience with The Treatment of Hydrocephalus in Infants: Endoscopic Third Ventriculostomy versus Ventriculo-Peritoneal Shunt: A retrospective Comparative Study
title_short	Our Experience with The Treatment of Hydrocephalus in Infants: Endoscopic Third Ventriculostomy versus Ventriculo-Peritoneal Shunt: A retrospective Comparative Study
title_full	Our Experience with The Treatment of Hydrocephalus in Infants: Endoscopic Third Ventriculostomy versus Ventriculo-Peritoneal Shunt: A retrospective Comparative Study
title_fullStr	Our Experience with The Treatment of Hydrocephalus in Infants: Endoscopic Third Ventriculostomy versus Ventriculo-Peritoneal Shunt: A retrospective Comparative Study
title_full_unstemmed	Our Experience with The Treatment of Hydrocephalus in Infants: Endoscopic Third Ventriculostomy versus Ventriculo-Peritoneal Shunt: A retrospective Comparative Study
title_sort	our experience with the treatment of hydrocephalus in infants: endoscopic third ventriculostomy versus ventriculo-peritoneal shunt: a retrospective comparative study
publisher	Al-Azhar University, Faculty of Medicine (Damietta)
publishDate	2020
url	https://doaj.org/article/05f9002a79e44cb0974338d487679324
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Our Experience with The Treatment of Hydrocephalus in Infants: Endoscopic Third Ventriculostomy versus Ventriculo-Peritoneal Shunt: A retrospective Comparative Study

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