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Updated: Jun 22, 2026

Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
Published on: October 14, 2022
Early shunt complications in 46 children with hydrocephalus
Moisés Heleno Vieira Braga1, Gervásio Teles C de Carvalho, Rafael Augusto Castro Santiago Brandão
1Department of Neurosurgery, Santa Casa de Belo Horizonte, MG, Brazil.
Insights
Infection is the primary cause of early ventriculoperitoneal shunt complications in children with hydrocephalus. Shorter hospital stays may reduce infection risk, especially in children over two years old.
Area of Science:
- Pediatric Neurosurgery
- Medical Device Complications
Background:
- Hydrocephalus affects children, often requiring ventriculoperitoneal shunt surgery.
- Early shunt complications can significantly impact patient outcomes.
Purpose of the Study:
- To identify the causes of early complications in pediatric ventriculoperitoneal shunt surgery.
- To analyze factors contributing to shunt malfunction and infection.
Main Methods:
- Retrospective study of 46 children undergoing ventriculoperitoneal shunt surgery.
- Data collected on complications, causes, and patient demographics.
Main Results:
- 28% of patients experienced early complications.
- Infection accounted for 69% of complications, while shunt malfunction was 31%.
- Patients with complications underwent an average of 2.8 procedures.
Conclusions:
- Infection is the most frequent early complication of ventriculoperitoneal shunts in children.
- Infection rates correlate with hospital stay duration.
- Children over two years old and those with hydrocephalus due to tumors or myelomeningocele had higher complication rates.
Objective:
To determine the causes of early shunt complications in 46 children with hydrocephalus.
Method:
A retrospective study was conducted on 46 children submitted to ventriculoperitoneal shunt surgery between February 2005 and February 2007.
Results:
Thirteen (28%) patients presented complications, which were due to infection in 9 (69%) and to malfunction of the shunt system in 4 (31%).The mean number of surgical procedures performed on patients who presented complications was 2.8 per patient, with a total of 46 surgeries in this group. All patients with infectious complications were identified during their hospital stay.
Conclusions:
Infection was the most common complication. The infection rate was proportional to the length of hospital stay. All patients with hydrocephalus due to tumors or myelomeningocele presented complications. A higher incidence of infections was observed in children older than 2 years.
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