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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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A Prospective Study and Analysis of Ventriculoperitoneal Shunt Surgery: their Indication and Complication in a Single Tertiary Care Centre

Suresh Kumar Choudhary, Madhur , Rahul Singh, Mukesh Kumar, Sanjeev Chopra, Ashok Gupta and Manish Agrawal
Page: 261-266 | Received 20 Aug 2024, Published online: 23 Nov 2024

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https://doi.org/10.36478/makrjms.2024.12.261.266

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Abstract

Ventriculoperitoneal (VP) shunt surgery remains the standard treatment for hydrocephalus, yet complications and outcomes vary significantly across different healthcare settings. To analyze the indications, complications and outcomes of VP shunt surgeries using the Chhabra shunt system at a single tertiary care center. This prospective study included 245 patients who underwent VP shunt surgery between June 2020 and November 2021. All procedures utilized Chhabra's shunt system with Keen's point entry. Patients were followed for six months post‐surgery with regular clinical and radiological evaluations. The study population included 58.4% males, with a mean age of 19.4±15.2 years. Congenital hydrocephalus (29.8%) was the most common etiology, followed by post‐meningitis (21.2%) and tumor‐related (18.4%) causes. Medium pressure shunts were predominantly used (80.8%, p<0.001). The overall complication rate was 32.7%, with mechanical complications being most frequent (15.5%). At six‐month follow‐up, 68.6% of patients showed good recovery (GOS 5) and 82.0% of shunts remained functional. Multi variate analysis identified age <1 year (OR 2.34, p=0.001) and prior CNS infection (OR 2.15, p=0.002) as significant risk factors for shunt failure. VP shunt surgery using the Chhabra shunt system demonstrates favorable outcomes with acceptable complication rates. Early identification of high‐risk patients and standardized surgical protocols contribute to improved success rates.

How to cite this article:

Suresh Kumar Choudhary, Madhur , Rahul Singh, Mukesh Kumar, Sanjeev Chopra, Ashok Gupta and Manish Agrawal. A Prospective Study and Analysis of Ventriculoperitoneal Shunt Surgery: their Indication and Complication in a Single Tertiary Care Centre.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.12.261.266
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.12.261.266