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CC BY-NC-ND 4.0 · Asian J Neurosurg 2023; 18(03): 597-601
DOI: 10.1055/s-0043-1774395
Research Article

Ventriculoperitoneal Shunt Surgery in Brunei Darussalam: A Population-Based Perspective

Merlin Boban
1   Department of Neurosurgery, Brunei Neuroscience, Stroke and Rehabilitation Centre, Pantai Jerudong Specialist Centre, Jerudong, Brunei Darussalam
,
John Mathew
1   Department of Neurosurgery, Brunei Neuroscience, Stroke and Rehabilitation Centre, Pantai Jerudong Specialist Centre, Jerudong, Brunei Darussalam
,
Ady Thien
1   Department of Neurosurgery, Brunei Neuroscience, Stroke and Rehabilitation Centre, Pantai Jerudong Specialist Centre, Jerudong, Brunei Darussalam
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Funding None.
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Erratum zu diesem Artikel:

Erratum: Ventriculoperitoneal Shunt Surgery in Brunei Darussalam: A Population-Based PerspectiveAsian J Neurosurg 2023; 18(03): e1-e1
DOI: 10.1055/s-0043-1776296

Abstract

Objective Ventriculoperitoneal shunt surgery is commonly performed to treat hydrocephalus. We aimed to characterize the demographics, complications, and outcomes of patients who underwent ventriculoperitoneal shunt surgery in Brunei Darussalam.

Materials and Methods We conducted a retrospective study on patients who underwent ventriculoperitoneal shunt surgery at the Neurosurgery Department of the Raja Isteri Pengiran Anak Saleha Hospital and Brunei Neuroscience Stroke and Rehabilitation Centre between January 2015 and June 2020.

Statistical Analysis All statistical analyses were performed using the Statistical Package for the Social Sciences version 20 (IBM Corporation, Armonk, New York, United States). The χ2 test, Student's t-test, and Mann–Whitney U test were performed for nominal, normally, and non-normally distributed variables, respectively. Multivariate logistic regression was used to assess the predictors of complications and shunt failure.

Results Fifty-three patients with a median age of 33 (interquartile range, 4–49) years were included. A total of 53 shunt operations were performed: 18 in the pediatric population and 35 in adults. The overall complication rate was 22.6%. Infection was the most common (9.4%) complication, with coagulase-negative staphylococci being the common organism causing the infection. The shunt failure rate (defined as removal or revision) was 20.8%. Univariate and multivariate analyses did not identify factors associated with complications or shunt failure.

Conclusion Ventriculoperitoneal shunt surgery, a common and technically non-demanding neurosurgical procedure, is associated with significant complications. We highlighted that shunt infection remains a concern and advocate practices to negate this risk.

Keywords

cerebrospinal fluid - complications - infection - hydrocephalus - ventriculoperitoneal shunt

Ethics

The study was approved by the local ethics committee and conducted in accordance with the ethical principles outlined by the Declaration of Helsinki.




Publikationsverlauf

Artikel online veröffentlicht:
13. September 2023

© 2023. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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