EUROPEAN JOURNAL OF
PHARMACEUTICAL AND MEDICAL RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

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 ISSN 2394-3211

Impact Factor: 6.222

 ICV - 79.57

Abstract

COMPLICATION OF VENTRICULOPERITONEAL (VP) SHUNT IN DEVELOPING COUNTRIES - OUR OBSERVATION

Dr. Sukriti Das*, Dr. Rathin Halder, Dr. Shamsul Islam Khan, Dr. Sharbari Dey, Dr. Uzzal Kumar Shadhu Khan, Dr. Saiful Hoque, Dr. Kaniz Fatema Ishrat Zahan, Dr. Mahmudul Haque Morshed

ABSTRACT

Objective: Ventriculoperitoneal (VP) shunt is very commonly performed neurosurgical operation in developing countries. Complications due to shunt infection and obstruction are associated with high morbidity and mortality. This observational study was performed by collecting data from multiple institutes in Bangladesh. Materials and Methods: It is a clinical retrospective observational study. This study was conducted on 150 patients of both genders with different ages who presented with signs and symptoms of shunt malfunction between 2018 and 2020. A complete clinical assessment was done, a final diagnosis was made, and a treatment of individual patients was planned accordingly. Patients were followed up within 1 week and 1 month post-operatively. Data was analyzed using the SPSS (version 22.0). Results: VP shunt surgery was done in 150 patients. Among them twenty-five (16.6%) patients had various forms of complications. Fifteen (60%) patients had complications related to the proximal catheter and the reservoir while 10 (40%) patients had complications related to distal catheter. The most common complications were exposed proximal shunt reservoir 16% and exposed distal catheter 8%, followed by proximal shunt obstruction 8% and distal obstruction 4%. The most common cause of Hydrocephalus was Congenital about 86.66 %, in which 16.1 % patients faced complications after surgery. Twenty-three (92%) patients were managed surgically, 21 (91%) patients of them showed marked improvement at the end of the first month postoperatively, while two (8%) patients needed another surgical intervention. Conclusion: During VP shunt surgery utmost care should be taken during procedure of the shunt surgery starting from scrubbing to closure of skin to avoid complications. Despite complications, the VP shunt insertion remains the main surgical option used for hydrocephalus management.

Keywords: Hydrocephalus, Cerebrospinal Fluid (CSF), Ventriculoperitoneal Shunt, Ventriculoperitoneal shunt complications.


[Full Text Article]

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Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (IP Value 2.40) Web of Science Group (Under Process) Directory of Research Journals Indexing Scholar Article Journal Index (SAJI) International Scientific Indexing ( ISI )