Advantages of delayed ventriculoperitoneal shunting in post haemorrhagic hydrocephalus seen in low birth weight infants

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dc.contributor.advisorPeter, Jonathan Cen_ZA
dc.contributor.authorTaylor, Allan Granten_ZA
dc.date.accessioned2018-01-09T08:55:19Z
dc.date.available2018-01-09T08:55:19Z
dc.date.issued1999en_ZA
dc.description.abstractINTRODUCTION: The incidence of intraventricular hemorrhage (IVH) in very low birth weight infants is between 25 and 50%. Approximately 13-60% of these patients will develop progressive post hemorrhagic hydrocephalus (PHH) and of these 22- 70% will require CSF diversion. The most common therapeutic intervention is insertion of a ventriculoperitoneal shunt but there is considerable controversy surrounding the timing of the operation. Most authors promote early surgery to prevent secondary injury from hydrocephalus but it was our impression that this was associated with a higher incidence of shunt complications. METHOD: The incidence of shunt complications in 36 patients shunted for PHH were retrospectively reviewed. Patients were treated at Red Cross Children's Hospital over an 8 year period. RESULTS: Nine (25%) of the 36 patients required shunt revision for obstruction, seven required revision during the initial admission. Shunt infection occurred in 4 patients (11 %) all during the initial hospital admission. Four patients died, one from a shunt related complication. There was a clear relationship between the timing of surgery and the incidence of complications (chi square test p,0.01 ). Nineteen patients underwent surgery before 5 weeks of age and 9 developed early shunt complications. Of those shunted after 5 weeks none had an early complication. Groups were matched for weight and grade of IVH. DISCUSSION: A possible explanation for these results is that shunt complications are related to the quantity of blood present in the CSF at the time of shunting. A short delay before intervention is recommended in an effort to reduce the morbidity of shunt complications.en_ZA
dc.identifier.apacitationTaylor, A. G. (1999). <i>Advantages of delayed ventriculoperitoneal shunting in post haemorrhagic hydrocephalus seen in low birth weight infants</i>. (Thesis). University of Cape Town ,Faculty of Health Sciences ,Division of Neurosurgery. Retrieved from http://hdl.handle.net/11427/26759en_ZA
dc.identifier.chicagocitationTaylor, Allan Grant. <i>"Advantages of delayed ventriculoperitoneal shunting in post haemorrhagic hydrocephalus seen in low birth weight infants."</i> Thesis., University of Cape Town ,Faculty of Health Sciences ,Division of Neurosurgery, 1999. http://hdl.handle.net/11427/26759en_ZA
dc.identifier.citationTaylor, A. 1999. Advantages of delayed ventriculoperitoneal shunting in post haemorrhagic hydrocephalus seen in low birth weight infants. University of Cape Town.en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - Taylor, Allan Grant AB - INTRODUCTION: The incidence of intraventricular hemorrhage (IVH) in very low birth weight infants is between 25 and 50%. Approximately 13-60% of these patients will develop progressive post hemorrhagic hydrocephalus (PHH) and of these 22- 70% will require CSF diversion. The most common therapeutic intervention is insertion of a ventriculoperitoneal shunt but there is considerable controversy surrounding the timing of the operation. Most authors promote early surgery to prevent secondary injury from hydrocephalus but it was our impression that this was associated with a higher incidence of shunt complications. METHOD: The incidence of shunt complications in 36 patients shunted for PHH were retrospectively reviewed. Patients were treated at Red Cross Children's Hospital over an 8 year period. RESULTS: Nine (25%) of the 36 patients required shunt revision for obstruction, seven required revision during the initial admission. Shunt infection occurred in 4 patients (11 %) all during the initial hospital admission. Four patients died, one from a shunt related complication. There was a clear relationship between the timing of surgery and the incidence of complications (chi square test p,0.01 ). Nineteen patients underwent surgery before 5 weeks of age and 9 developed early shunt complications. Of those shunted after 5 weeks none had an early complication. Groups were matched for weight and grade of IVH. DISCUSSION: A possible explanation for these results is that shunt complications are related to the quantity of blood present in the CSF at the time of shunting. A short delay before intervention is recommended in an effort to reduce the morbidity of shunt complications. DA - 1999 DB - OpenUCT DP - University of Cape Town LK - https://open.uct.ac.za PB - University of Cape Town PY - 1999 T1 - Advantages of delayed ventriculoperitoneal shunting in post haemorrhagic hydrocephalus seen in low birth weight infants TI - Advantages of delayed ventriculoperitoneal shunting in post haemorrhagic hydrocephalus seen in low birth weight infants UR - http://hdl.handle.net/11427/26759 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/26759
dc.identifier.vancouvercitationTaylor AG. Advantages of delayed ventriculoperitoneal shunting in post haemorrhagic hydrocephalus seen in low birth weight infants. [Thesis]. University of Cape Town ,Faculty of Health Sciences ,Division of Neurosurgery, 1999 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/26759en_ZA
dc.language.isoengen_ZA
dc.publisher.departmentDivision of Neurosurgeryen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.subject.otherNeurosurgeryen_ZA
dc.titleAdvantages of delayed ventriculoperitoneal shunting in post haemorrhagic hydrocephalus seen in low birth weight infantsen_ZA
dc.typeMaster Thesis
dc.type.qualificationlevelMasters
dc.type.qualificationnameMMeden_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceThesisen_ZA
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