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Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
14:59

Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus

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[Ventriculoperitoneal shunt infections in children and adolescents with hydrocephalus]

Márcia Maria Macêdo Lima1, Carlos Umberto Pereira, Angela Maria Silva

  • 1Hospital Governador Joao Alves Filho, Universidade Federal de Sergipe, Avenida Sizino Martins Fontes 84/102, 49032-510 Aracaju, SE, Brazil. marcialima@infonet.com.br

Arquivos De Neuro-Psiquiatria
|April 11, 2007
PubMed

Insights

Ventriculoperitoneal shunt (VPS) infections in children with hydrocephalus occurred frequently, with surgical site infections being the most common complication. High infection rates were observed regardless of patient age, hydrocephalus cause, or surgical risk.

Area of Science:

  • Pediatric Neurosurgery
  • Infectious Diseases
  • Medical Device Complications

Context:

  • Hydrocephalus management in children often requires ventriculoperitoneal shunts (VPS).
  • VPS infections represent a significant complication, impacting patient outcomes.
  • Understanding infection patterns is crucial for improving pediatric neurosurgical care.

Purpose:

  • To determine the frequency, causes, location, and clinical/laboratory findings of VPS infections in pediatric hydrocephalus patients.
  • To analyze infection rates based on procedure and surgical risk index.
  • To identify factors associated with VPS infections in a Brazilian hospital setting.

Summary:

  • A prospective observational study of 58 VPS procedures in 50 pediatric patients revealed a high infection rate of 27.6% per procedure.
  • Surgical site infection was the primary complication, accounting for 50% of cases.
  • No significant statistical differences in infection rates were found concerning age, hydrocephalus etiology, procedure type, or surgical risk index.

Impact:

  • The study highlights a high incidence of VPS infections in pediatric hydrocephalus patients, necessitating a review of current prevention strategies.
  • Findings underscore the need for enhanced infection control measures in neurosurgical procedures.
  • This research provides critical data for improving patient safety and outcomes in pediatric neurosurgery.
Abstract

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