Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Endoscopic third ventriculostomy (ETV) is indicated for both communicating and noncommunicating types of hydrocephalus and for various etiologies of hydrocephalus, including infection, congenital malformations, such as aqueductal stenosis, congenital cysts, mega cisterna magna and Arnold‐Chiari malformation, hemorrhage and tumor. Hence in this study, in which it is analysed and assessed the usefulness of ETV in cases of ventriculoperitoneal shunt malfunction. This Analytical Prospective study involved Prior Consent from the patients and was found to be within ethical standards. About 26 patients were enrolled who underwent ETV for shunt malfunction presenting to various tertiary health tertiary medical care institutes/hospitals. The choice to proceed with ETV was based on discussion on the risks and benefits of the procedure with the patient and attendants. All patients had a minimum of 12 months of follow‐up. In our study the use of ETV in patients with shunt malfunction resulted in shunt independence in 61.53% patients. ETV was successful in 17.65% of patients aged <2 years and in 82.35% of patients aged >2 years. Nearly 81.81% patients who had normal third ventricle anatomy observed during endoscopy had successful outcome whereas, 53.33% patients who were having indistinct anatomy observed during the procedure had successful outcome. There were 4 complications 15.38% associated with ETV and shunt removal in our series. ETV is a good procedure for patients who present with shunt malfunction. It is a technically demanding procedure and needs expertise. It has got its own complications but it relieves a patient from the everlasting complications of shunt surgery. Limitations of study were Low sample size/Lesser number of patients in the study.
How to cite this article:
Rajesh Jain, Akshay Baid and Ashu Jain. An Analysis on the Endoscopic Third Ventriculostomy in Shunt Malfunction Surgeries.
DOI: https://doi.org/10.36478/10.59218/makrjms.2023.376.381
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2023.376.381