COMPARISON OF SIMULTANEOUS VERSUS DELAYED VENTRICULOPERITONEAL SHUNTING IN PATIENTS UNDERGOING MENINGOCOELE REPAIR IN TERMS OF INFECTION

Haider Ali Khattak, Nasim Gul, Shahbaz Ali Khan, Gul Muhammad, Ahsan Aurangzeb, Ibrahim Khan, Abdul Hameed Khan

Abstract


Background: Myelomeningocele is a congenital anomaly of Central Nervous System (CNS) leading to serious sequels related to various systems and organs of the affected patient. Hydrocephalus is a common condition associated with myelomeningocele. Hydrocephalus is seen in 11.8% of children with Myelomeningocele (MMC). This study was conducted to compare the simultaneous vs delayed ventriculoperitoneal shunting in children undergoing myelomeningocele in terms of infection. Methods: This Randomized Control Trial was conducted at department of Neurosurgery, Ayub Medical College, Abbottabad from 7th March to 7th June 2016. In this study a total of 98 patients with MMC and hydrocephalus were randomly divided into two equal groups. In group A simultaneous MMC repair and VP shunting was performed while in group B MMC repair was done in first and VP shunting was done two weeks postoperatively. Results: In this study mean age in Group A was 1 years with SD±2.77 while mean age in Group B was 1 years with SD±3.12. In Group A (12%) patients had infection and (88%) whereas in Group B (20%) patients had infection and (80%) patients didn’t had infection. Conclusion: Simultaneous VP shunting was more effective than delayed VP shunting in children undergoing myelomeningocele in terms of infection.

Keywords: Myelomeningocoele; spina bifida; delayed ventriculoperitoneal shunting; infection; complication

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References


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