Experience with a new concept to lower non-infectious complications in infants with programmable shunts

European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [et Al] = Zeitschrift Für Kinderchirurgie
Marcus C KorinthJ M Gilsbach

Abstract

In neonates and infants less than 1 year of age who are treated with a ventriculo-peritoneal shunt, non-infectious complications are almost as frequent and dangerous as infectious complications. While the incidence of infections can be reduced, using perioperative antibiotics, special surgical techniques and postoperative care non-infectious complications such as wound break-down, cerebrospinal fluid (CSF) fistula and subcutaneous CSF collection are preventable, but seem difficult to manage, especially in the group of patients at a susceptible age. The authors present their experience with the programmable Hakim valve in 40 neonates and infants less than 1 year of age, who were treated with de novo implantation of a ventriculo-peritoneal shunt due to various pathologies. The uneventful wound healing during the first weeks after shunt implantation, avoiding the above mentioned non-infectious complications, was supported by initial, temporary overdrainage and readjustment of the programmable valve after completed wound healing. All patients tolerated this procedure well and showed no pathological signs or symptoms of overdrainage like premature closure of cranial sutures, clinical low-pressure syndrome, slit ventricle syndrome (S...Continue Reading

Citations

Oct 10, 2006·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Edward S AhnGeorge I Jallo
Jun 5, 2004·Journal of Neuro-ophthalmology : the Official Journal of the North American Neuro-Ophthalmology Society·Hugh J L Garton
Mar 3, 2012·African Journal of Paediatric Surgery : AJPS·Rajendra K GhritlahareyJyoti Srivastava
Oct 21, 2006·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·C Di RoccoG Tamburrini
Oct 10, 2007·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Juan F Martínez-LageJavier Ros de San Pedro
Jan 23, 2016·Journal of Neurosurgery. Pediatrics·Anna-Felicitas GebertUlrich-Wilhelm Thomale
May 20, 2015·Journal of Neurosurgery. Pediatrics·Catherine A MazzolaUNKNOWN Pediatric Hydrocephalus Systematic Review and Evidence-Based Guidelines Task Force
Mar 30, 2017·Neurosurgical Review·Bienvenido RosMiguel A Arráez

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