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Pediatric ventriculoperitoneal shunt: a comparative study between anterior fontanel ultrasound‑guided versus conventional cranial end insertion
Faculty
Medicine
Year:
2023
Type of Publication:
ZU Hosted
Pages:
Authors:
Mahmoud Mustafa Mohamed Taha
Staff Zu Site
Abstract In Staff Site
Journal:
Child's Nervous System Springer
Volume:
Keywords :
Pediatric ventriculoperitoneal shunt: , comparative study between anterior
Abstract:
Purpose Ventriculoperitoneal (V-P) shunt is one of the most common neurosurgical procedures in pediatrics for the treatment of hydrocephalus. Shunt failure is one of the common mechanical complications which lead to major morbidities. This study aims to compare between cranial part insertions of the V-P shunts guided by trans-anterior fontanel ultrasound versus conventional insertion. Methods A prospective comparative randomized study was conducted on 60 pediatric patients aged≤2 years who suffered hydrocephalus and allocated into 2 groups. In the first group (n=30), the cranial parts of the ventriculoperitoneal shunts were inserted guided by trans-anterior fontanel ultrasound, and in the second group (n=30), the insertions were by the conventional method. The follow-up duration of the patients was 3 months. Results Proximal part obstruction of the V-P shunt was found in 3 cases of the conventional group during follow-up with statistical insignificance (p=0.237) while adequate proximal part location recorded statistical significance (p=0.0005) in favor of ultrasound-guided group. Conclusion The use of the anterior fontanel ultrasound guide during ventriculoperitoneal shunt insertion is a feasible, safe, and effective technique for the placement of ventricular catheters in pediatric patients with a patent anterior fontanel.
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Department Related Publications
Ahmed Hazem Saad Elsayed Soliman, "نتائج تثبيت الفقرات القطنية بالمسامير والقضبان في حالات ازاحة الفقرات مقارنة بنتائج التثبيت بمستطيل لوكس", لايوجد, 1900
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Ahmed Hazem Saad Elsayed Soliman, "دراسة وجود بروتين ف أ س (أ ب ,-1) في الاورام السرطانية الحرشفية للانف والجيوب النفية", لايوجد, 1900
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Hassan Abdelsalam Abdelfatah, "التثبيت الجراحى الدلخلي لكسور وتزحزح الفقرات الصدرية والقطنية عقب الاصابة", لايوجد, 1900
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Hassan Abdelsalam Abdelfatah, "علاج تورم المخ الكاذب باستخدام صمام تنظيم السائل النخاعي من القناة الشوكية القطنية الي التجويف البريوني", لايوجد, 1900
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Hassan Abdelsalam Abdelfatah, "التقسيم التدريجى للاشعة المقطعية ودرجة غيلب الوعي كمقياس توقفي لاصابات الرأس الشديدة", لايوجد, 1900
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