RETROSPECTIVE ANALYSIS OF PEDIATRIC HYDROCEPHALUS PATIENTS TREATED WITH ENDOSCOPIC THIRD VENTRICULOSTOMY

Tuğrul Cem Ünal; Duran Şahin; İlyas Dolaş; Duygu Dölen; Sefa Öztürk; Yavuz Aras; Aydın Aydoseli; Pulat Akın Sabancı; Altay Sencer

Makale detayları

RETROSPECTIVE ANALYSIS OF PEDIATRIC HYDROCEPHALUS PATIENTS TREATED WITH ENDOSCOPIC THIRD VENTRICULOSTOMY

Yazarlar:

Tuğrul Cem Ünal | Duran Şahin | İlyas Dolaş | Duygu Dölen | Sefa Öztürk | Yavuz Aras | Aydın Aydoseli | Pulat Akın Sabancı | Altay Sencer

Yayıncı:

Istanbul University

Ana Başlıklar:

Sağlık Hizmetleri ve Sistemleri (Diğer)

Dergi:

İstanbul Tıp Fakültesi Dergisi Vol.87 Issue 2, pp.102-107

Belge Tipi:

Makale

Yayın Tarihi:

3/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001323696

pISSN:

1305-6441

Anahtar kelimeler:

Özet:

 Objective: Ventriculoperitoneal VP shunt and endoscopic third ventriculostomy ETV are commonly utilized surgical interventions for managing hydrocephalus. This study aimed to analyze ETV procedures performed on patients under 17 years of age, focusing on demographic factors such as age and gender, etiological considerations, surgical complications, and the necessity for VP shunt placement. Material and Method: A retrospective review was conducted on pediatric patients who underwent ETV for hydrocephalus at the Department of Neurosurgery, Istanbul Faculty of Medicine, Istanbul University, spanning from January 2015 to June 2022. The study encompassed 44 patients aged 17 years or younger, with assessments made retrospectively based on clinical and radiological outcomes. Result: Among the 44 patients subjected to ETV for hydrocephalus, 24 were female 54.5 and 20 were male 45.4, with a mean age of 7.3 years. The most prevalent presenting symptom was headache, reported by 11 patients 25, followed by increased head circumference in 10 patients 22.7. The primary etiology of hydrocephalus was intracranial tumors 34. In five patients 11.3, ETV was performed to address shunt malfunction following a prior VP shunt procedure. Regression of hydrocephalus occurred in 30 patients 68.1, while 14 patients 31.8 necessitated a subsequent VP shunt placement. Postoperative wound complications were documented in five patients 11.3. Conclusion: ETV offers distinct advantages over traditional shunt surgery, including reduced complication risks and enhanced quality of life. Despite the influence of various factors on the success of ETV in pediatric cases, the procedure has demonstrated safety and efficacy in a significant number of patients in this demographic.

 Objective: Ventriculoperitoneal VP shunt and endoscopic third ventriculostomy ETV are commonly utilized surgical interventions for managing hydrocephalus. This study aimed to analyze ETV procedures performed on patients under 17 years of age, focusing on demographic factors such as age and gender, etiological considerations, surgical complications, and the necessity for VP shunt placement. Material and Method: A retrospective review was conducted on pediatric patients who underwent ETV for hydrocephalus at the Department of Neurosurgery, Istanbul Faculty of Medicine, Istanbul University, spanning from January 2015 to June 2022. The study encompassed 44 patients aged 17 years or younger, with assessments made retrospectively based on clinical and radiological outcomes. Result: Among the 44 patients subjected to ETV for hydrocephalus, 24 were female 54.5 and 20 were male 45.4, with a mean age of 7.3 years. The most prevalent presenting symptom was headache, reported by 11 patients 25, followed by increased head circumference in 10 patients 22.7. The primary etiology of hydrocephalus was intracranial tumors 34. In five patients 11.3, ETV was performed to address shunt malfunction following a prior VP shunt procedure. Regression of hydrocephalus occurred in 30 patients 68.1, while 14 patients 31.8 necessitated a subsequent VP shunt placement. Postoperative wound complications were documented in five patients 11.3. Conclusion: ETV offers distinct advantages over traditional shunt surgery, including reduced complication risks and enhanced quality of life. Despite the influence of various factors on the success of ETV in pediatric cases, the procedure has demonstrated safety and efficacy in a significant number of patients in this demographic.

 Objective: Ventriculoperitoneal VP shunt and endoscopic third ventriculostomy ETV are commonly utilized surgical interventions for managing hydrocephalus. This study aimed to analyze ETV procedures performed on patients under 17 years of age, focusing on demographic factors such as age and gender, etiological considerations, surgical complications, and the necessity for VP shunt placement. Material and Method: A retrospective review was conducted on pediatric patients who underwent ETV for hydrocephalus at the Department of Neurosurgery, Istanbul Faculty of Medicine, Istanbul University, spanning from January 2015 to June 2022. The study encompassed 44 patients aged 17 years or younger, with assessments made retrospectively based on clinical and radiological outcomes. Result: Among the 44 patients subjected to ETV for hydrocephalus, 24 were female 54.5 and 20 were male 45.4, with a mean age of 7.3 years. The most prevalent presenting symptom was headache, reported by 11 patients 25, followed by increased head circumference in 10 patients 22.7. The primary etiology of hydrocephalus was intracranial tumors 34. In five patients 11.3, ETV was performed to address shunt malfunction following a prior VP shunt procedure. Regression of hydrocephalus occurred in 30 patients 68.1, while 14 patients 31.8 necessitated a subsequent VP shunt placement. Postoperative wound complications were documented in five patients 11.3. Conclusion: ETV offers distinct advantages over traditional shunt surgery, including reduced complication risks and enhanced quality of life. Despite the influence of various factors on the success of ETV in pediatric cases, the procedure has demonstrated safety and efficacy in a significant number of patients in this demographic.

 Amaç: Hidrosefali ameliyatlarında ventrikülo-peritoneal VP şant ve endoskopik üçüncü ventrikülostomi EÜV sıklıkla tercih edilen cerrahilerdir. Çalışmamızda 17 yaş altında EÜV yapılan hastaların yaş ve cinsiyete göre dağılımlarını, cerrahi komplikasyonlarını ve VP şant ihtiyaçlarının incelenmesi amaçlanmıştır. Gereç ve Yöntem: Ocak 2015-Haziran 2022 tarihleri arasında İstanbul Üniversitesi İstanbul Tıp Fakültesi, Beyin ve Sinir Cerrahisi Anabilim Dalında 17 yaş altında EÜV ameliyatı yapılan 44 hasta çalışmaya dahil edilmiştir. Hastaların klinik ve radyolojik sonuçları retrospektif olarak değerlendirilmiştir. Bulgular: Endoskopik üçüncü ventrikülostomi yapılan hastaların 24ü kadın 54,5, 20si erkekti 45,4. Hastaların ortalama yaşları 7,3 idi. En sık hastaneye başvuru şikâyetleri 11 hastada saptanan 25 baş ağrısı ve 10 hastada saptanan22,7 baş çevresinde artıştı. İncelenen hastalar arasında hidrosefalinin en yaygın nedeni intrakraniyal tümördü 34. Daha önce VP şant operasyonu yapılan ve takiplerinde şant disfonksiyonu gelişen beş 11,3 hastaya EÜV yapıldı. EÜV yapılmış 44 hastanın 30unda 68,1 hidrosefalinin gerilediği görülürken, 14 hasta 31,8 ikinci kez opere edilerek VP şant takıldı. EÜV sonrası ikinci kez opere edilerek VP şant takılan 14 hastanın 7sine 50 ilk ayda, 4üne 28,5 ise EÜV sonrası 1-3 aylık süreçte VP şant takıldı. EÜV yapılan hastaların beşinde 11,3 postoperatif yara yeri problemi geliştiği görüldü. Sonuç: Geleneksel şant cerrahisine kıyasla EÜV komplikasyon riskinin daha düşük olması ve operasyon sonrası yaşam kalitesini arttırması gibi birçok avantaj sunar. Çocuklarda ETVnin başarısı çeşitli faktörlerden etkilenebilmesine rağmen prosedürün birçok pediatrik hastada güvenli ve etkili olduğu gösterilmiştir.

Makale detayları

RETROSPECTIVE ANALYSIS OF PEDIATRIC HYDROCEPHALUS PATIENTS TREATED WITH ENDOSCOPIC THIRD VENTRICULOSTOMY

Yazarlar:

Tuğrul Cem Ünal | Duran Şahin | İlyas Dolaş | Duygu Dölen | Sefa Öztürk | Yavuz Aras | Aydın Aydoseli | Pulat Akın Sabancı | Altay Sencer

Yayıncı:

Istanbul University

Ana Başlıklar:

Sağlık Hizmetleri ve Sistemleri (Diğer)

Dergi:

İstanbul Tıp Fakültesi Dergisi Vol.87 Issue 2, pp.102-107

Belge Tipi:

Makale

Yayın Tarihi:

3/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001323696

pISSN:

1305-6441

Hydrocephalus

endoscopic third ventriculostomy

ventriculoperitoneal shuntHidrosefali

endoskopik üçüncü ventrikülostomi

ventriküloperitoneal şant

Sayı

Makale detayları

RETROSPECTIVE ANALYSIS OF PEDIATRIC HYDROCEPHALUS PATIENTS TREATED WITH ENDOSCOPIC THIRD VENTRICULOSTOMY

Yazarlar: Tuğrul Cem Ünal | Duran Şahin | İlyas Dolaş | Duygu Dölen | Sefa Öztürk | Yavuz Aras | Aydın Aydoseli | Pulat Akın Sabancı | Altay Sencer

Yayıncı: Istanbul University

Ana Başlıklar: Sağlık Hizmetleri ve Sistemleri (Diğer)

Dergi: İstanbul Tıp Fakültesi Dergisi Vol.87 Issue 2, pp.102-107

Belge Tipi: Makale

Yayın Tarihi: 3/2024

Belge Dili: İngilizce

Document ID (Org No.): 2001323696

pISSN: 1305-6441

Hydrocephalus

endoscopic third ventriculostomy

ventriculoperitoneal shuntHidrosefali

endoskopik üçüncü ventrikülostomi

ventriküloperitoneal şant

Sayı

Yazarlar:

Tuğrul Cem Ünal | Duran Şahin | İlyas Dolaş | Duygu Dölen | Sefa Öztürk | Yavuz Aras | Aydın Aydoseli | Pulat Akın Sabancı | Altay Sencer

Yayıncı:

Istanbul University

Ana Başlıklar:

Sağlık Hizmetleri ve Sistemleri (Diğer)

Dergi:

İstanbul Tıp Fakültesi Dergisi Vol.87 Issue 2, pp.102-107

Belge Tipi:

Makale

Yayın Tarihi:

3/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001323696

pISSN:

1305-6441