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Journal of Indian Association of Pediatric Surgeons
     Journal of Indian Association of Pediatric Surgeons
Official journal of the Indian Association of Pediatric Surgeons         
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 ORIGINAL ARTICLE
Year : 2012  |  Volume : 17  |  Issue : 2  |  Page : 54-57

Pediatric hydrocephalus: Does the shunt device pressure selection affect the outcome?


1 Department of Pediatric Surgery, Himalayan Institute of Medical Sciences, Swami Ram Nagar, Dehra Dun, India
2 Department of Surgery, Himalayan Institute of Medical Sciences, Swami Ram Nagar, Dehra Dun, India
3 Department of Neurosurgery, Himalayan Institute of Medical Sciences, Swami Ram Nagar, Dehra Dun, India

Correspondence Address:
Arvind Sinha
Department of Pediatric Surgery, Himalayan Institute of Medical Sciences, Swami Ram Nagar, Dehra Dun - 248 140
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9261.93962

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Aim : To compare the efficacy of low- versus medium-pressure shunts in pediatric hydrocephalus in a randomized controlled trial. Materials and Methods: Forty patients of pediatric hydrocephalus were randomized into two groups. The Chhabra differential pressure VP shunt (low or medium) was inserted in every patient. Postoperative follow-up was performed for symptomatic improvement and radiological evaluation (by sonography or computed tomography scan) for ventricle hemispheric ratio (VHR). Comparative analysis of pre- and postoperative VHR and need of redo surgery for shunt malformation were carried out to establish outcomes. Results: Nineteen patients had a low-pressure and 21 patients had a medium-pressure shunt inserted. The age of the patients ranged from 1 day to 10 years. The average preoperative VHR in group A was 55.37%, which reduced to 40% postoperatively (P = 0.00005); likewise, the pre- and postoperative VHR in group B were 61.57% and 42%, respectively, which was statistically significant (P = 0.0006). The complications of shunts and incidence of redo shunt surgery in both groups were not found to be statistically significant (P = 0.5614). Conclusions : The study found no significant difference in the outcome of patients with low- or medium-pressure shunt placement in pediatric hydrocephalus.






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