Muhammad Akmal Hussain, Khalid Mahmood.
Complications of Ventriculopeitoneal Shunts in Paediatric patients with Hydrocephalus.
Annals Punjab Med Coll Jan ;9(1):1-4.
Objective: To assess the pattern, causes and frequency of Complication of Ventriculoperitoneal Shunt surgery in Paediatric patients. Material and Method: 404 patients with hydrocephalus were operated between the period of 2004 to 2013 in the Departments of Neurosurgery and Paediatric Surgery at Allied Hospital, Punjab Medical College, Faisalabad. All patients with provisional diagnosis of Hydrocephalus were admitted in the hospital, detailed history was recorded and general physical examination with special emphases on neurological examination. Diagnosis was confirmed on the basis of investigations like Cranial Ultrasonography, CT and MRI scanning. Data analysis was carried using Statistical package of social Sciences (SPSS). Results: Of the 404 patients 176(81.48%) were male and 40(18.51%) female. Shunt infection was the commonest complication (12.9%) followed by Blockage (8.3%). Shunt related mortality was (1.8%). The mean age among the patients showing disconnection was 20.7 months compared to mean age of 7.8 months for not having this complication(p<0.04). Conclusion: Infection remains the most significant complication of VP Shunt surgery. Ventriculoperitoneal Shunt operation should be considered a major surgical procedure. Children with VP shunt should receive follow-up through the transition the adult hood.
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