Acta Scientific Neurology (ASNE) (ISSN: 2582-1121)

Research Article Volume 4 Issue 12

Outcomes of Ventriculo-peritoneal Shunt Based on Clinical Observation: Retrospective Study in Rural Area Developing Country Indonesia

Agung Budi Sutiono*

Department of Neurosurgery, Universitas Padjadjaran Hasan Sadikin Hospital, Indonesia

*Corresponding Author: Agung Budi Sutiono, Department of Neurosurgery, Universitas Padjadjaran Hasan Sadikin Hospital, Indonesia.

Received: November 16, 2021; Published: November 25, 2021

Abstract

Introduction: Hydrocephalus is a condition where an abnormal build-up of cerebrospinal fluid (CSF) fluid causes an increase in pressure in the ventricles or subarachnoid space of the brain and one of the most common clinical conditions affecting the central nervous system. Although VP-shunt is a simple surgery, however the follow up post-operatively in rural city area especially in developing country like Indonesia has not been explore explicitly.

Methods: Retrospective study was conducted of 29 patient with ages ranged from 2 month until 25 years at Hasan Sadikin General Hospital rural city Bandung Indonesia.

Results: The result showed most of incidence is in males. The common type of hydrocephalus is communicant hydrocephalus with 61% cases. We also described correlation between ages and length of stay in hospital and the result is the youngest VP-shunt for hydrocephalus, the longer should stay in hospital (p<0,00). There was statistically significant difference in any outcome between adult patient and children (p<0,00) but there is no correlation between type of re-therapy (repair or removal shunt) with lenght of previous VP-shunt surgery (p = 0,99).

Conclusion: We found that the younger patient need to stay longer in hospital than in adult patient. And the adult patient of hydrocephlus has better outcome than in children. Of course the outcome depends on multiple factors especially in children which are related to myelomeningocele or other congenital anomalies, therefore it need more investigation.

Keywords: Hydrocephalus; Ventriculoperitoneal Shunt; Rural; Outcomes

References

  1. Beni-Adani L., et al. “The occurrence of obstructive vs. absorptive hydrocephalus in newborns and infants: relevance to treatment choices”. Child’s Nervous System12 (2006): 1542-1563.
  2. Ahmed A., et al. “Outcome analysis of shunt surgery in hydrocephalus”. Journal of Indian Association of Pediatric Surgeons 3 (2009).
  3. Gautam VK., et al. “Reviewing Hydrocephalus: Personal experience of a Neurosurgeon with Ventriculoperitoneal shunt treatment”. International Journal of Medicine 2.2 (2014): 56-59.
  4. “Hydrocephalus diagnosed in young and middle-age Adult”. Hydrocephalus association. San francisco. (2013).
  5. Lam CH and Villemure JG. “Comparison between ventriculoatrial and ventriculoperitoneal shunting in the adult population”. British Journal of Neurosurgery 11 (1997): 43-4
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  8. Ibrahim SO., et al. “When should Ventrikuloperitoneal Shunt Placement be Performed in Cases with Myelomeningocele and Hydrocephalus?”. Turkish Neurosurgery 18.4 (2008): 387-391.

Citation

Citation: Agung Budi Sutiono. “Outcomes of Ventriculo-peritoneal Shunt Based on Clinical Observation: Retrospective Study in Rural Area Developing Country Indonesia". Acta Scientific Neurology 4.12 (2021): 47-50.

Copyright

Copyright: © 2021 Agung Budi Sutiono. 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.




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