Publication: Pediatric Ventriculoperitoneal Shunt: Outcome Analysis in a Tertiary Care Center in Nepal
| creativeworkseries.issn | ISSN (Print) : 1993-2979 | ISSN (Online) : 1993-2987 | |
| dc.contributor.author | Phuyal, Suman | |
| dc.contributor.author | Rajbhandari, Binod | |
| dc.contributor.author | Pradhanang, Amit B | |
| dc.contributor.author | Sedain, Gopal | |
| dc.contributor.author | Shilpakar, Sushil K | |
| dc.contributor.author | Sharma, Mohan R | |
| dc.date.accessioned | 2026-04-03T06:26:53Z | |
| dc.date.available | 2026-04-03T06:26:53Z | |
| dc.date.issued | 2020 | |
| dc.description | Suman Phuyal, Binod Rajbhandari, Amit B Pradhanang, Gopal Sedain, Sushil K Shilpakar, Mohan R Sharma Department of Neurosurgery, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Institute of Medicine, Maharajgunj, Kathmandu, Nepal | |
| dc.description.abstract | ABSTRACT Introduction: Ventriculoperitoneal (VP) shunt is a commonly performed neurosurgical procedure in pediatric surgical practice. It results in a dramatic improvement in patient survival and neurological function but is associated with several complications requiring multiple shunt revisions throughout a patient’s lifetime. The main aim of the study was to evaluate the outcome especially complications of shunt surgery at our center. Methods: A single-institutional, retrospective observational study was conducted in 60 operated cases of congenital hydrocephalus with a minimum follow-up for up to 6 months. Parameters for analysis included demographic data, etiology of hydrocephalus, surgery time, and type of complications. Results: Out of 86 patients, 60 patients who fulfilled the inclusion criteria were enrolled in the study. The mean age of the patients at the time of VP shunt placement was 3 months, range from 8 days to 15 years with male preponderance. The majority of the patients belonged to the 0-1-year age group (76.8%). The commonest etiology of hydrocephalus was congenital aqueduct stenosis. Fifteen patients (25%) developed complications within six months follow-up period. Eight patients (13.3%) developed clinical shunt infection with four cases having culture positive. Four (6.67%) had mechanical complications in the form of shunt obstruction. Three patients had ascites, subdural collection, and shunt extrusion from the anus. The shunt related mortality was 1.67%. Conclusion: The shunt infection and obstruction still remain the most important complications. Despite inherent problems, shunt surgery is the procedure of choice until a safer effective alternative is available. Keywords: Complications congenital hydrocephalus, ventriculoperitoneal shunt | |
| dc.identifier | https://doi.org/10.59779/jiomnepal.1083 | |
| dc.identifier.uri | https://hdl.handle.net/20.500.14572/5590 | |
| dc.language.iso | en_US | |
| dc.publisher | Institute of Medicine | |
| dc.subject | Complications congenital hydrocephalus | |
| dc.subject | ventriculoperitoneal shunt | |
| dc.title | Pediatric Ventriculoperitoneal Shunt: Outcome Analysis in a Tertiary Care Center in Nepal | |
| dc.type | Article | |
| dspace.entity.type | Publication | |
| local.article.type | Original Article | |
| oaire.citation.endPage | 43 | |
| oaire.citation.startPage | 40 | |
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