Abstract

In children with hydrocephalus, main goal of treatment is to decrease raised ICP, either by ventriculoperitoneal shunt (VPS) or endoscopic third ventriculostomy (ETV). Present study was aimed to compare endoscopic third ventriculostomy (ETV) versus ventriculoperitoneal shunt (VP shunt) in patients with hydrocephalus. Material and Methods: Present study was prospective, comparative study, conducted in children of age < 18 years, either gender, undergoing endoscopic third ventriculostomy (ETV) versus ventriculoperitoneal shunt (VP shunt) for symptomatic hydrocephalus. Results: In present study, in surgery time was ≤ 48 hours in VPS group (57.14 %) as well as ETV group (71.43 %). Intra-operative complications such as haemorrhage (21.43 % vs 7.14 %) & altered Hemodynamic changes (21.43 % vs 7.14 %) common in VPS group as compared ETV group, difference was statistically significant. Post-operative complications were common in VPS group such as hematoma (21.43 %), infection (7.14 %), CSF leak (7.14 %) & shunt obstruction (7.14 %) as compared to ETV group such as hematoma (7.14 %) & subdural hygroma (7.14 %), difference was statistically significant. Successful outcome was noted in VPS group (57.14 %) as well as ETV group (71.43 %), difference was not significant statistically. Sequalae of hydrocephalus were observed more in VPS group (21.43 %) as compared to ETV group (7.14 %), difference was not significant statistically. Mortality outcome was noted in VPS group (7.14 %) as well as ETV group (7.14 %). Conclusion: Endoscopic third ventriculostomy (ETV) had less operative complications than ventriculoperitoneal shunt (VP shunt) in patients with hydrocephalus but there were no significant difference between the outcomes of ETV and VPS insertion

Description

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