Outcome Analysis of Ventriculoperitoneal Shunt in Terms of Complications In Patients of Congenital Hydrocephalus

ABSTRACT

Introduction: Ventriculo-peritoneal shunt is routinelyperformed in neurosurgery especially in PediatricNeurosurgery. This study is a retrospective study to analyzethe complications occurring in patients of congenitalhydrocephalous who got operated at our centre.Materials and Methods: This study was done by analyzing 90cases referred to Department of Neuro Surgery, SSG CivilHospital, Baroda Medical College, Baroda, Gujarat, India fromNovember 2017 to April 2019. A minimum follow-up of 6months was done. Hydrocephalus associated with Spaceoccupying lesions, Intracranial hemorrhages, Neural tubedefects were excluded.Results: Total number of cases operated during this periodwas 90. 59(65.6%) were male, 31 (34.4%) were female.Complications were observed in 30/90 (33.3%) cases. Out of30 cases shunt block 16 cases (53.4%) was a major cause ofcomplication followed by Infection i.e. 6 cases (20%). Therewas no mortality observed in our cases.Conclusion: This procedure has a high complication rate butnow due to again popular endoscopic third ventriculostomywhich can be safely used in certain cases above a set age, hasgiven us an option, but still in age group of 0-6 monthsventriculo-peritoneal shunt is still a more popular andprocedure of choice till any further alternative is available.