Surgical complications in pediatric patients with hydrocephalus in Guillermo Almenara-Irigoyen Nacional Hospital

  • Estela Erwinovna Mogrovejo Médico Cirujano, Facultad de Medicina
  • Patricia Pichilingue Reto Médico Cirujano, Facultad de Medicina
  • Quiches Bazán Médico Cirujano, Facultad de Medicina
  • Betty Quintanilla Cabrera Médico Neurocirujano, Médico Asistente Servicio Vascular y Tumores Departamento de Neurocirugía Hospital Nacional Guillermo Almenara Irigoyen
Keywords: Hydrocephalus, ventriculo-peritoneal shunt, postoperative complications

Abstract

Objective: To determine the main surgical complications in pediatric patients with hydrocephalus in Guillermo Almenara Irigoyen National Hospital.

Material and method: A descriptive case series reviewed the charts of pediatric patients with hydrocephalus who underwent a ventriculo-peritoneal shunt procedure. These patients were between 0 and 14 years old when they had their first surgery. Data was collected in a standardized chart. Statistical significance was established in p<0.05.

Results: Approximately one third of patients (35.5%) developed complications. Fifty- four percent had early complications and 45% developed late complications. Causes for complications were: system malfunction, infection and subdural hematoma caused by overdrainage of VP shunts in 54.5%, 27.3% and 18.2%, respectively. Of all patients who developed complications, 54.5% had acquired and 45.5% had congenital hydrocephalus; 72.7% underwent emergency surgery and 27.3% underwent elective surgery. There was a statistically significant association between the origin of hydrocephalus and the development of complications, X2 = 5.387 (p = 0.02).  

Conclusions: The frequency of complications after surgical therapy for hydrocephalus was 35.5%. The main cause was system malfunction. These results show that acquired hydrocephalus has a greater likelihood for developing post surgical complications compared to congenital hydrocephalus.

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Published
2011-03-31
How to Cite
1.
Erwinovna Mogrovejo E, Pichilingue Reto P, Bazán Q, Quintanilla Cabrera B. Surgical complications in pediatric patients with hydrocephalus in Guillermo Almenara-Irigoyen Nacional Hospital. Acta Med Peru [Internet]. 2011Mar.31 [cited 2024Mar.29];28(1):6-11. Available from: https://amp.cmp.org.pe/index.php/AMP/article/view/1077
Section
ORIGINAL ARTICLES