DOI: 10.36347/sjams.2018.v06i09.037

Pages: 3412-3420

Hydrocephalus is one of the most commonly encountered in pediatric neurosurgical diseases. The total 487 patients of hydrocephalous operated in neurosurgery department of tertiary care hospital were included in the study. The out of total 487 cases of 134 cases were with complications and 353 cases were without complications. Ventriculo-peritoneal shunt was indicated in total 487 cases and complication were reported in 134 cases, out of 134 cases pediatric and adult were 58.18% and 41.18% respectively. Male preponderance is noted in both surgery and also in complications. Clinical presentation includes commonly headache, vomiting, fever convulsion and altered consciousness. Clinical signs include increase head circumference pappiloedema, cranial nerve deficit and wound gapping. Primary disease in ventriculo-peritoneal shunt surgery patients were congenital malformation, tuberculous meningitis and pyogenic meningitis and its percentage were 44.88%, 25.86% and 29.94% respectively. Total 169 patients develop complication post operatively and common complications were infection (13.6%), blockage of shunt (62.72%), exposure of shunt (11.24%) and wound discharge (5.91%). Total 169 patients require revision surgery due to complication. Emergency surgeries were done in 79.2% cases more common than elective surgery in 20.76% cases. After surgery improvement, worsening and death were noted in 90.29%, 1.49% and 8.2% respectively. The timely diagnosis of shunt complication and proper treatment can bring out good outcome in majority of patients.