African Journal of Paediatric Surgery

ORIGINAL ARTICLE
Year
: 2012  |  Volume : 9  |  Issue : 1  |  Page : 32--39

Ventriculoperitoneal shunt complications needing shunt revision in children: A review of 5 years of experience with 48 revisions


Rajendra K Ghritlaharey, Keshav S Budhwani, Dhirendra K Shrivastava, Jyoti Srivastava 
 Department of Paediatric Surgery, Gandhi Medical College and Associated, Kamla Nehru and Hamidia Hospitals Bhopal, Madhya Pradesh, India

Correspondence Address:
Rajendra K Ghritlaharey
Department of Paediatric Surgery, Gandhi Medical College and Associated, Kamla Nehru and Hamidia Hospitals Bhopal, Madhya Pradesh - 462 001
India

Background: The aim of this study was to review the management of ventriculoperitoneal (VP) shunt complications in children. Patients and Methods: During the last 5 years (January 1, 2006 to December 31, 2010), 236 VP shunt operations were performed in children under 12 years of age; of these, 40 (16.94%) developed shunt complications and those who underwent VP shunt revisions were studied. Results: This prospective study included 40 (28 boys and 12 girls) children and required 48 shunt revisions. Complications following VP shunts that required shunt revisions were peritoneal catheter/peritoneal end malfunction (18), shunt/shunt tract infections (7), extrusion of peritoneal catheter through anus (5), ventricular catheter malfunction (4), cerebrospinal fluid (CSF) leak from abdominal wound (4), shunt system failure (2), ventricular end/shunt displacement (2), CSF pseudocysts peritoneal cavity (2), extrusion of peritoneal catheter from neck, chest, abdominal scar and through umbilicus, one each. Four-fifth of these shunt complications occurred within 6 months of previous surgery. Surgical procedures done during shunt revisions in order of frequency were revision of peritoneal part of shunt (27, 56.25%), revision of entire shunt system (6, 12.5%), extra ventricular drainage and delayed re-shunt (5, 10.41%), shunt removal and delayed re-shunt (5, 10.41%), opposite side shunting (2, 4.16%), cysts excision and revision of peritoneal catheter (2, 4.16%) and revision of ventricular catheter (1, 2.08%). The mortalities following VP shunt operations were 44 (18.64%) and following shunt revisions were 4 (10%). Conclusions: VP shunt done for hydrocephalus in children is not only prone for complications and need for revision surgery but also associated with considerable mortality.


How to cite this article:
Ghritlaharey RK, Budhwani KS, Shrivastava DK, Srivastava J. Ventriculoperitoneal shunt complications needing shunt revision in children: A review of 5 years of experience with 48 revisions.Afr J Paediatr Surg 2012;9:32-39


How to cite this URL:
Ghritlaharey RK, Budhwani KS, Shrivastava DK, Srivastava J. Ventriculoperitoneal shunt complications needing shunt revision in children: A review of 5 years of experience with 48 revisions. Afr J Paediatr Surg [serial online] 2012 [cited 2022 Sep 29 ];9:32-39
Available from: https://www.afrjpaedsurg.org/article.asp?issn=0189-6725;year=2012;volume=9;issue=1;spage=32;epage=39;aulast=Ghritlaharey;type=0