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Updated: Feb 6, 2026

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

Published on: October 14, 2022

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Outcome Analysis of Ventriculoperitoneal Shunt Surgery in Pediatric Hydrocephalus

Pradyumna Pan1

  • 1Pediatric Surgery Unit, Ashish Hospital and Research Centre, Jabalpur, Madhya Pradesh, India.

Journal of Pediatric Neurosciences
|August 10, 2018
PubMed

Insights

This study on pediatric hydrocephalus found high complication rates after ventriculoperitoneal shunt surgery, with etiology impacting shunt survival. Further research is needed to confirm these findings.

Area of Science:

  • Pediatric Neurosurgery
  • Hydrocephalus Management
  • Surgical Outcomes

Background:

  • Hydrocephalus is a common neurological condition in children requiring surgical intervention.
  • Ventriculoperitoneal (VP) shunts are the primary treatment for pediatric hydrocephalus.
  • Understanding shunt failure risk factors is crucial for improving patient outcomes.

Purpose of the Study:

  • To assess the clinical outcomes of VP shunt surgeries in pediatric hydrocephalus patients.
  • To identify risk factors associated with VP shunt failure and revision.

Main Methods:

  • Retrospective analysis of medical charts, operative reports, and imaging studies.
  • Inclusion of 137 pediatric patients who underwent VP shunt surgery for hydrocephalus.
  • Review of clinical follow-up evaluations to determine shunt complications and outcomes.

Main Results:

  • Overall shunt complication rate was 35.76%, with shunt revision at 27%.
  • Specific complications included shunt blockade (45.94%), infection (16.21%), and migration (10.81%).
  • Etiologies like post-tubercular meningitis and intraventricular hemorrhage were linked to increased shunt revisions.

Conclusions:

  • The etiology of hydrocephalus significantly influences VP shunt survival in pediatric patients.
  • High rates of complications and revisions necessitate further investigation.
  • Prospective controlled studies are recommended to validate these associations and guide clinical practice.
Abstract

Keywords:
Complicationshydrocephalusventriculoperitoneal shunt

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