Third ventriculostomy vs ventriculoperitoneal shunt in pediatric obstructive hydrocephalus: results from a Swiss series and literature review

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It was possible to publish this article open access thanks to a Swiss National Licence with the publisher.
Serval ID
serval:BIB_689114F6124C
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Third ventriculostomy vs ventriculoperitoneal shunt in pediatric obstructive hydrocephalus: results from a Swiss series and literature review
Journal
Child's Nervous System
Author(s)
de Ribaupierre  S., Rilliet  B., Vernet  O., Regli  L., Villemure  J. G.
ISSN
0256-7040 (Print)
Publication state
Published
Issued date
05/2007
Volume
23
Number
5
Pages
527-33
Notes
Comparative Study
Journal Article --- Old month value: May
Abstract
INTRODUCTION: Few series compare endoscopic third ventriculostomies (ETV) and ventriculoperitoneal shunts (VPS). To avoid the complications after a shunt insertion, there is an increased tendency to perform a third ventriculostomy. We reviewed all pediatric patients operated in the French-speaking part of Switzerland for a newly diagnosed obstructive hydrocephalus since 1992 and compared the outcome of patients who benefited from ETV to the outcome of patients who benefited from VPS. There were 24 ETV and 31 VPS. DISCUSSION: At 5 years of follow-up, the failure rate of ETV was 26%, as compared to 42% for the VPS group. This trend is also found in the pediatric series published since 1990 (27 peer-reviewed articles analyzed). CONCLUSION: In accordance to this trend, although a statistical difference cannot be assessed, we believe that ETV should be the procedure of choice in pediatric obstructive hydrocephalus.
Keywords
Adolescent Child Child, Preschool Female Follow-Up Studies Humans Hydrocephalus/*surgery Infant Infant, Newborn Male Survival Analysis Switzerland Third Ventricle/surgery Treatment Failure Treatment Outcome *Ventriculoperitoneal Shunt/adverse effects *Ventriculostomy/adverse effects
Pubmed
Web of science
Open Access
Yes
Create date
25/01/2008 13:13
Last modification date
01/10/2019 6:18
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