Serial tests for serum C-reactive protein (CRP) were carried out on 40 children undergoing cerebrospinal fluid shunt surgery, to determine the pattern of appearance and disappearance of CRP in relation to this type of operation, in the absence of postoperative complications. Samples of sera from a further 268 children, 79 of whom presented after shunt surgery with symptoms suggesting infective ...

Presence of ascites increases the risk of minor complications hernia, diminished mobility, dyspnoea and major ones such as renal failure, hepatorenal syndrome, spontaneous bacterial peritonitis, hepatic hydrothorax or variceal bleeding. Furthermore, treatment of ascites can also cause complicationselectrolyte imbalance, encephalopathy, gynaecomastia (diuretic therapy), decreasing complement and...

OBJECTIVE To determine the clinical presentations, complications and mortality in patients with Dandy-Walker Malformation (DWM) after surgery i.e., shunt with y-connector. STUDY DESIGN Case series. PLACE AND DURATION OF STUDY Neurosurgery Ward, JPMC, Karachi, from January 2009 to December 2013. METHODOLOGY Cases of DWM, with associated hydrocephalus, further confirmed on CT scan of brain,...

In recent years, there has been a marked reduction in surgical mortality for many complex forms of congenital heart disease. Treatment or palliative strategies vary but may include systemic-pulmonary central or Blalock-Taussig shunt. These shunts can be complicated by overcirculation, infection, thrombosis, and thromboembolism. Many diagnostic modalities are available to aide in diagnosis of po...

UNLABELLED The aim of this study is the evaluation of laparoscopic treatment in abdominal complications following ventriculoperitoneal (VP) shunt. METHODS We report a retrospective study including 17 patients with abdominal complications secondary to VP shunt for hydrocephalus, laparoscopically treated in our department, between 2000 and 2007. RESULTS Patients' age ranged from 1 to 72 years...

Ventriculoperitoneal shunt placement is an effective treatment of hydrocephalus diverting the cerebrospinal fluid into the peritoneal cavity. Unfortunately, the shunt devices have a high incidence of malfunction mainly due to catheter obstruction or infection and are associated with various complications, 25% of which are abdominal. Spontaneous bowel perforation is a rare potentially fatal comp...

OBJECTIVE To determine the causes of early shunt complications in 46 children with hydrocephalus. METHOD A retrospective study was conducted on 46 children submitted to ventriculoperitoneal shunt surgery between February 2005 and February 2007. RESULTS Thirteen (28%) patients presented complications, which were due to infection in 9 (69%) and to malfunction of the shunt system in 4 (31%).Th...

A prospective analysis of the morbidity and mortality after peritoneovenous shunting was carried out in 25 patients who had a total of 27 shunts for refractory ascites. Major complications were limited to the patients in whom ascites was secondary to hepatic rather than peritoneal disease. Immediate postoperative complications followed 17 out of the 23 shunts carried out in patients with liver ...

BACKGROUND The relationship between first and subsequent cerebrospinal fluid (CSF) shunt infections is poorly understood. By understanding the factors associated with increased risk of reinfection, researchers may provide optimal treatment strategies at the time of first infection. The objective of this study was to describe and compare children with and without CSF shunt reinfection. METHODS...

Objectives: Ventriculoperitoneal shunt surgery is the most widely used procedure in the treatment of hydrocephalus. However, this procedure has been associated with several delayed unusual complications. This paper will discuss these cases, their management and suggest ways on how to avoid these complications. Methods: This prospective study was conducted in the neurosurgery unit at King Hussei...