Related Experiment Video
Updated: Jun 1, 2026
03:13
Endoscopic Third Ventriculostomy and Pineal Biopsy from a Single Entry Point
Published on: June 28, 2024
Complications of endoscopic third ventriculostomy
Triantafyllos Bouras1, Spyros Sgouros
1Attikon University Hospital, Athens, Greece.
Journal of Neurosurgery. Pediatrics
|June 3, 2011
Summary
Endoscopic third ventriculostomy (ETV) is a safe procedure for hydrocephalus, with an 8.5% complication rate and 0.21% mortality. This review details ETV complications, offering valuable data for neurosurgical practice.
Area of Science:
- Neurosurgery
- Pediatric Neurosurgery
- Neurology
Background:
- Endoscopic third ventriculostomy (ETV) is a standard treatment for hydrocephalus.
- Existing research often emphasizes ETV success rates, with limited documentation of associated complications.
Purpose of the Study:
- To systematically review and document the complications associated with Endoscopic third ventriculostomy (ETV).
Main Methods:
- A systematic literature search was conducted using Medline to identify studies reporting ETV complications.
- Analysis included 34 series encompassing 2985 ETV procedures across pediatric, adult, and mixed populations.
Main Results:
- The overall complication rate for ETV was 8.5%, with permanent morbidity at 2.38% (neurological 1.44%, hormonal 0.94%).
- Intraoperative hemorrhage occurred in 3.7% of cases, and central nervous system infections in 1.81%.
- Early postoperative mortality was 0.21%, with delayed mortality due to stoma occlusion also noted.
Conclusions:
- Endoscopic third ventriculostomy is a low-complication procedure for hydrocephalus management.
- The study provides comprehensive data on ETV-associated risks, including morbidity and mortality rates.
- Findings support ETV as a relatively safe neurosurgical intervention.
Related Concept Videos
01:26Aneurysm III: Interprofessional Care
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
01:22Aneurysm IV: Nursing Management
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
01:26Endoscopic Studies II: Thoracocentesis
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
01:29Endoscopic Procedures I: Esophagogastroduodenoscopy
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
01:24Endotracheal Tube Extubation
Endotracheal tube extubation is a critical procedure in weaning patients from mechanical ventilation. It involves physically removing the oral or nasal endotracheal (ET) tube, marking the final step in liberating a patient from ventilatory support.
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals.
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals.
01:18Endocarditis III: Medical Management
Infective endocarditis management involves a multifaceted approach encompassing infection prevention, lifestyle modifications, pharmacological therapy, and surgical management.Infection Prevention:Hand Hygiene: Thorough handwashing is crucial to prevent the spread of infection. Hand hygiene should be performed regularly, especially before and after using the restroom.Oral Hygiene: Good oral hygiene is essential. It includes brushing teeth immediately after waking up and before bed, flossing...