SciELO - Scientific Electronic Library Online

 
vol.28 issue1Epidemiological, clinical, and pathologic characteristics of lymphoma cases in Cayetano Heredia National Hospital from 1998 to 2008 author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Indicators

  • Have no cited articlesCited by SciELO

Related links

  • Have no similar articlesSimilars in SciELO

Share


Acta Médica Peruana

On-line version ISSN 1728-5917

Abstract

MOGROVEJO, Estela Erwinovna; PICHILINGUE RETO, Patricia; BAZAN, Quiches  and  QUINTANILLA CABRERA, Betty. Surgical complications in pediatric patients with hydrocephalus in Guillermo Almenara-Irigoyen Nacional Hospital. Acta méd. peruana [online]. 2011, vol.28, n.1, pp.6-11. ISSN 1728-5917.

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.

Keywords : Hydrocephalus; ventriculo-peritoneal shunt; postoperative complications.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )