Complications of ventriculoperitoneal shunting in hydrocephalus cure are countless and well known nowadays; depending on several factors. They are all more so screened in children whom are vulnerable and growing; more again in sub-Saharan area, suggesting a close follow-up and a paid attention on family balance. We emphasised on this surgical and social challenge to analyse the experience of a paediatric neurosurgical unit. A retrospective study has been performed to determine statistical data over 13 years of our practice in sub-Saharan hospital area, referring to international recommendations. It was of above 90 complications collected in 62 patients over 302 children operated, 20.52%. Complications were mechanic (58) and infectious (32). The mean age of appearance was 2 years 8 months, with an average of 6 months of follow-up. Malformative aetiologies were of 4 over 5 children, 80.65% and more than half were non-obstructive, 58%. The complications were unique, multiple or associated. The treatment was mainly surgical 88.7% on several modes. Sixteen children deceased during the study period. Post-shunting complications are the source of a compromised functional or even vital prognosis, sometimes in a psychosocial stress or low feel. The challenge in sub-Saharan area remains the efficient management of complications with limited resources or a sociocultural family uncertainty. Perioperative prevention must be the master words.
| Published in | International Journal of Neurosurgery (Volume 5, Issue 2) |
| DOI | 10.11648/j.ijn.20210502.17 |
| Page(s) | 90-93 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2021. Published by Science Publishing Group |
Child, Complications, Hydrocephalus, Ventriculo-Peritoneal Shunt
| [1] | Khan B, Hamayun S, Haqqani U, Khanzada K, Ullah S, Khattak R, Zadran N, Bibi Z, Khan AW. Early Complications of Ventriculoperitoneal Shunt in Pediatric Patients with Hydrocephalus. Cureus. 2021 Feb 23; 13 (2): e13506. |
| [2] | Agarwal N, Shukla RM, Agarwal D, Gupta K, Luthra R, Gupta J, Jain S. Pediatric Ventriculoperitoneal Shunts and their Complications: An Analysis. J Indian Assoc Pediatr Surg. 2017 Jul-Sep; 22 (3): 155-157. |
| [3] | Bober J, Rochlin J, Marneni S. Ventriculoperitoneal Shunt Complications In Children: An Evidence-Based Approach To Emergency Department Management. Pediatr Emerg Med Pract. 2016 Feb; 13 (2): 1-22; quiz 22-3. |
| [4] | Wu Y, Green NL, Wrensch MR, Zhao S, Gupta N. Ventriculoperitoneal shunt complications in California: 1990 to 2000. Neurosurgery. 2007 Sep; 61 (3): 557-62; discussion 562-3. |
| [5] | Sissoko DM, Touré AA, Diallo O. Complications de la Dérivation Ventriculo-Péritonéale dans le Service de Neurochirurgie du CHU Gabriel Touré [Complications of VentriculoPeritoneal Shunt in Neurosurgery Department of the Gabriel Touré University Hospital]. Faculté de Médecine, Pharmacie, Odonto-Stomatologie. Thèse 2011. |
| [6] | Jilla M, Benzagmout M. Les Complications de la Dérivation Ventriculo-Péritonéale (A propos de 37 cas) [Complications of VentriculoPeritoneal Shunt (About 37 cases)]. Recherches Scientifiques CHU Hassan II-Fès. 2013; 1293. |
| [7] | Gandaho HJ, Hounton SH, Kelani A, Darga C, Hoinsou-Hans I, Agbani F, Lalya F, Koumakpayi S, Ayivi B. Impact socio-économique et familial du traitement de l’hydrocéphalie au Bénin [Economic hardship and fallout on households of the management of hydrocephalus in Benin]. Sante Publique. 2017 Apr 27; 29 (2): 271-278. |
| [8] | Neiter E, Guarneri C, Pretat PH, Joud A, Marchal JC, Klein O. Sémiologie d'un dysfonctionnement de dérivation ventriculo-péritonéale chez l'enfant - mise au point [Semiology of ventriculoperitoneal shunting dysfunction in children - a review]. Neurochirurgie. 2016 Feb; 62 (1): 53-9. |
| [9] | Paff M, Alexandru-Abrams D, Muhonen M, Loudon W. Ventriculoperitoneal shunt complications: A review. Interdisciplinary Neurosurgery. 2018; 13: 66-70. |
| [10] | Mbonihankuye A, Lmejjati M, Ait Benali S. Les Complications des Dérivations Ventriculo-Péritonéales dans les Hydrocéphalies (Expérience du Service de Neurochirurgie sur 5 ans: de 2003 à 2008) [Complications of VentriculoPeritoneal Shunts in Hydrocephalus (5 years Experience of Neurosurgery Department: from 2003 til 2008]. Faculté de médecine et de pharmacie – Marrakech, Université Cadi Ayyad. Thèse N°45/2011. |
| [11] | Minina Ayoub. Les complications de la dérivation ventriculo-péritoneale chez l’enfant (A propos de 61 cas) [Complications of VentriculoPeritoneal Shunt in Child (About 61 cases)]. Thèse de médicine Université Sidi Mohammed Ben Abdellah 2017, N° 144/17. |
| [12] | Jibia A, Oumarou BN, Adoum M, Abogo S, Nga Nomo S, Chewa G. Repeat fracture of shunts in ventriculoperitoneal shunting with pelvic migration: An African teen case report with literature review. Interdisciplinary Neurosurgery: Advanced Techniques and Case Management 2022 (27) 101381. https://doi.org/10.1016/j.inat.2021.101381. |
| [13] | Santos MM, Rubagumya DK, Dominic I, Brighton A, Colombe S, O'Donnell P, Zubkov MR, Härtl R. Infant hydrocephalus in sub-Saharan Africa: the reality on the Tanzanian side of the lake. J Neurosurg Pediatr. 2017 Nov; 20 (5): 423-431. |
| [14] | Li M, Wang H, Ouyang Y, Yin M, Yin X. Efficacy and safety of programmable shunt valves for hydrocephalus: A meta-analysis. Int J Surg. 2017 Aug; 44: 139-146. |
APA Style
Alain Jibia, Esperance Broalet, Carine Kacou Tetchi, Soress Dongo, Sa’Deu Fondjo, et al. (2021). Complications of Ventriculo-peritoneal Shunting: 13 Years of Experience in a Sub-saharan Paediatric Neurosurgery Unit. International Journal of Neurosurgery, 5(2), 90-93. https://doi.org/10.11648/j.ijn.20210502.17
ACS Style
Alain Jibia; Esperance Broalet; Carine Kacou Tetchi; Soress Dongo; Sa’Deu Fondjo, et al. Complications of Ventriculo-peritoneal Shunting: 13 Years of Experience in a Sub-saharan Paediatric Neurosurgery Unit. Int. J. Neurosurg. 2021, 5(2), 90-93. doi: 10.11648/j.ijn.20210502.17
AMA Style
Alain Jibia, Esperance Broalet, Carine Kacou Tetchi, Soress Dongo, Sa’Deu Fondjo, et al. Complications of Ventriculo-peritoneal Shunting: 13 Years of Experience in a Sub-saharan Paediatric Neurosurgery Unit. Int J Neurosurg. 2021;5(2):90-93. doi: 10.11648/j.ijn.20210502.17
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Download@article{10.11648/j.ijn.20210502.17,
author = {Alain Jibia and Esperance Broalet and Carine Kacou Tetchi and Soress Dongo and Sa’Deu Fondjo and Aderehime Haidara},
title = {Complications of Ventriculo-peritoneal Shunting: 13 Years of Experience in a Sub-saharan Paediatric Neurosurgery Unit},
journal = {International Journal of Neurosurgery},
volume = {5},
number = {2},
pages = {90-93},
doi = {10.11648/j.ijn.20210502.17},
url = {https://doi.org/10.11648/j.ijn.20210502.17},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijn.20210502.17},
abstract = {Complications of ventriculoperitoneal shunting in hydrocephalus cure are countless and well known nowadays; depending on several factors. They are all more so screened in children whom are vulnerable and growing; more again in sub-Saharan area, suggesting a close follow-up and a paid attention on family balance. We emphasised on this surgical and social challenge to analyse the experience of a paediatric neurosurgical unit. A retrospective study has been performed to determine statistical data over 13 years of our practice in sub-Saharan hospital area, referring to international recommendations. It was of above 90 complications collected in 62 patients over 302 children operated, 20.52%. Complications were mechanic (58) and infectious (32). The mean age of appearance was 2 years 8 months, with an average of 6 months of follow-up. Malformative aetiologies were of 4 over 5 children, 80.65% and more than half were non-obstructive, 58%. The complications were unique, multiple or associated. The treatment was mainly surgical 88.7% on several modes. Sixteen children deceased during the study period. Post-shunting complications are the source of a compromised functional or even vital prognosis, sometimes in a psychosocial stress or low feel. The challenge in sub-Saharan area remains the efficient management of complications with limited resources or a sociocultural family uncertainty. Perioperative prevention must be the master words.},
year = {2021}
}
TY - JOUR T1 - Complications of Ventriculo-peritoneal Shunting: 13 Years of Experience in a Sub-saharan Paediatric Neurosurgery Unit AU - Alain Jibia AU - Esperance Broalet AU - Carine Kacou Tetchi AU - Soress Dongo AU - Sa’Deu Fondjo AU - Aderehime Haidara Y1 - 2021/12/24 PY - 2021 N1 - https://doi.org/10.11648/j.ijn.20210502.17 DO - 10.11648/j.ijn.20210502.17 T2 - International Journal of Neurosurgery JF - International Journal of Neurosurgery JO - International Journal of Neurosurgery SP - 90 EP - 93 PB - Science Publishing Group SN - 2640-1959 UR - https://doi.org/10.11648/j.ijn.20210502.17 AB - Complications of ventriculoperitoneal shunting in hydrocephalus cure are countless and well known nowadays; depending on several factors. They are all more so screened in children whom are vulnerable and growing; more again in sub-Saharan area, suggesting a close follow-up and a paid attention on family balance. We emphasised on this surgical and social challenge to analyse the experience of a paediatric neurosurgical unit. A retrospective study has been performed to determine statistical data over 13 years of our practice in sub-Saharan hospital area, referring to international recommendations. It was of above 90 complications collected in 62 patients over 302 children operated, 20.52%. Complications were mechanic (58) and infectious (32). The mean age of appearance was 2 years 8 months, with an average of 6 months of follow-up. Malformative aetiologies were of 4 over 5 children, 80.65% and more than half were non-obstructive, 58%. The complications were unique, multiple or associated. The treatment was mainly surgical 88.7% on several modes. Sixteen children deceased during the study period. Post-shunting complications are the source of a compromised functional or even vital prognosis, sometimes in a psychosocial stress or low feel. The challenge in sub-Saharan area remains the efficient management of complications with limited resources or a sociocultural family uncertainty. Perioperative prevention must be the master words. VL - 5 IS - 2 ER -
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