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Fırat Tıp Dergisi |
2012, Cilt 17, Sayı 1, Sayfa(lar) 006-009 |
[ Turkish ] [ Tam Metin ] [ PDF ] |
The Timing of Ventriculo-peritoneal Shunt Application At The Late Stage Myelomeningocele Repair |
Bekir AKGUN1, Necati UCLER1, Fatih Serhat EROL1, Metin KAPLAN1, Tolga GEDIZ2, Ilhan YILMAZ3 |
1Firat University Faculty of Medicine, Department of Neurosurgery, Elazig, Turkey 2Bitlis State Hospital, Department of Neurosurgery, Bitlis, Turkey 3Harput State Hospital, Department of Neurosurgery, Elazig, Turkey |
Objective: The insertion time of the shunt used for hydrocephalus treatment is controversial for the risk of infection in patients with myelomeningocele. Many authors have reported the risk of ventriculo-peritoneal shunt infection in early myelomeningocele repaired patients (the first 3 days after birth). The aim of this study is to evaluate the VP shunt insertion time with risk of shunt infection in cases who repaired myelomeningocele sac in late stage.
Materials and Methods: In this study, 50 patients who had undergone myelomeningocele repair after the 4th day of life in our institution during the period between 2000 and 2009, were analyzed. 31 of 50 cases underwent a simultaneous shunt procedure (Group A) and the remaining 19 cases underwent a shunt operation following myelomeningocele sac repair at a different session (Group B). Results: For all cases, the shunt infection rate was 12% while infection ratio was 9.6% in Group A, and 15.7% in Group B. Shunt infection was 6,9% in cases with myelomeningocele repaired after 10 days, while this was 23.5% in cases with repair between the 4th and 10th days. Conclusion: The risk of VP shunt infection for late period sac repair is higher between the four to ten days than after the ten days. There was no statistically difference between the risk of infection and the timing of shunt application at late stage myelomeningocele repair. |
[ Turkish ] [ Tam Metin ] [ PDF ] |
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