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Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
Published on: October 14, 2022
Quality of Life Among Children Who Had Undergone Ventriculoperitoneal Shunt Surgery
Priyanka Prakash1, Manju Dhandapani1, Sandhya Ghai1
1National Institute of Nursing Education (NINE), Chandigarh, India.
Insights
Children undergoing ventriculoperitoneal (VP) shunting for hydrocephalus experience health problems and reduced quality of life (QOL). Multiple surgeries significantly impact QOL, highlighting the need for targeted interventions.
Area of Science:
- Neurosurgery
- Pediatric Neurology
- Quality of Life Research
Background:
- Ventriculoperitoneal (VP) shunting is a primary neurosurgical intervention for hydrocephalus.
- Despite technological advancements, VP shunt surgery carries inherent morbidity risks.
- Understanding patient-reported outcomes is crucial for improving care.
Purpose of the Study:
- To identify health-related problems in pediatric patients with VP shunts.
- To assess the quality of life (QOL) in children requiring VP shunts.
- To explore factors influencing QOL in this population.
Main Methods:
- A cross-sectional exploratory study design was employed.
- 31 pediatric patients with VP shunts were recruited via consecutive sampling.
- The Hydrocephalus Outcome Questionnaire assessed QOL, with scores ranging from 0 to 1.
Main Results:
- The average age of participants was 11.51 ± 4.26 years.
- Headache and generalized pain were the most reported issues (42%).
- The mean QOL score was 0.67 ± 0.21, with the cognitive domain most affected. Multiple surgeries significantly correlated with lower QOL (P=0.02).
Conclusions:
- Pediatric VP shunt patients face diverse health challenges and diminished QOL.
- The cognitive domain is particularly impacted, and repeated surgeries worsen QOL.
- Holistic management and targeted interventions are vital for enhancing QOL in children with VP shunts.
Background:
Ventriculoperitoneal (VP) shunting is the most common neurosurgical treatment for hydrocephalus. In spite of significant developments in the technology and design of shunt systems, shunt surgery is still associated with morbidity.
Aim:
To identify the problems faced by children on VP shunt and assess their quality of life (QOL).
Setting And Design:
A cross-sectional exploratory study.
Materials And Methods:
A total of 31 children on VP shunt were selected through consecutive sampling technique, and hydrocephalus outcome questionnaire was used to collect the data, with the converted metric score ranging from 0 to 1. Hydrocephalus due to stroke, hemorrhage, and malignant tumors was excluded.
Results:
The mean age of patients was 11.51 ± 4.26 years. Headache and generalized pain were the common problems experienced (42%). The mean score of QOL was 0.67 ± 0.21. Among the three domains, cognitive domain was the most affected. Among the clinicoradiological factors, multiple surgeries (P = 0.02) had the most significant impact on QOL.
Conclusion:
Children who underwent VP shunt face various health-related problems in different domains and low QOL. Although cognitive domain was the most affected, multiple surgeries had the most significant impact on QOL. Appropriately focused interventions and holistic management are essential to improve the QOL of children undergoing VP shunt.
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