Mian Awais¹*, Akhtar Munir¹, Lubna Ijaz¹, Muhammad Akmal Hussain², Ihsan Ullah³, Muhammad Jahanzeb Aslam⁴ and Rimla Ayesha⁵

¹Pediatric Neurosurgery Department, The Children Hospital $ The Institute of Child Health, Lahore, Pakistan
²Professor, Neurosurgery Department, Allied Hospital Faisalabad, Faisalabad Medical University, Pakistan
³Neurosurgery Department, Lady Reading Hospital Peshawar, Pakistan
⁴Neurosurgery Department, Allied Hospital Faisalabad, Faisalabad Medical University, Pakistan
⁵Faisalabad Medical University, Faisalabad, Pakistan

*Corresponding Author: Mian Awais, Pediatric Neurosurgery Department, The Children Hospital $ The Institute of Child Health, Lahore, Pakistan.

Received: June 18, 2021; Published: July 14, 2021

Abstract

Objective: Hydrocephalus is the most encountered pediatric neurosurgical abnormality, with a high prevalence in developing countries. Untreated, hydrocephalus leads to permanent disability or death. The epidemiology and outcomes of hydrocephalus treated by ventriculoperitoneal (VP) shunts in Pakistan still are not well defined and vary by region and class. The aim of this study was to determine the post operative complications of VP shunt in children presented to Department of Pediatric Neurosurgery in The Childrens Hospital $ The Institute of Child Health Lahore.

Study Design: Retrospective cross sectional observational study.

Place and Duration of Study: Department of Pediatric Neurosurgery the Childrens Hospital $ The Institute of Child Health Lahore from January 2020 to June 2021.

Methodology: A total of 52 children were included in this study through OPD and Neurosurgical emergency by non probability sampling. All the children were gone through CT brain and MRI brain before VP shunting.

Results: Thirteen (13) 25% patients were presented with complications. Out of 13 patients 10 children were presented with infection 77%, two (15.4%) with malfuncting of shunt and 01(7.6%) patient with mal positioning. The mean number of surgeries performed on these patients were 1.6 %. All of these patients with these complications were identified with in 1 week after surgery.

Conclusion: Infection was the most common pathology in children with VP shunting. The infection rate was directly proportional to the number of day patient stay in hospital. All children having hydrocephalus due to pediatric tumors or myelomeningocele presented with complications. A greater incidence of infections were observed in patients older than 2 years.

Keywords: Hydrocephalus Valve; Hydrocephalus; Ventriculo Peritoneal Shunt; Ventricul Oatrial Shunt; Early Complications

References

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Citation

Citation: Mian Awais., et al. “Post-Operative Complications of Ventriculoperitoneal Shunts in Children at the Children’s Hospital $ The Institute of Child Health Lahore”. Acta Scientific Neurology 4.8 (2021): 14-17.

Copyright

Copyright: © 2021 Mian Awais., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.