Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2024 Mar 2:23:100332.
doi: 10.1016/j.wnsx.2024.100332. eCollection 2024 Jul.

Ventriculoperitoneal shunt infection rate and other associated complications of VP shunt insertion in Abuja, Nigeria

Obinna M Ayogu  1 , Kenechukwu K Igbokwe  1 , Kassim M Jabir  1 , Efeomo D Onobun  2 , Cyril I Okpata  1 , Ugochukwu Ugwuanyi  1 , Ikechi Ekpendu  1 , Edidiong A Essiet  1
Affiliations

Ventriculoperitoneal shunt infection rate and other associated complications of VP shunt insertion in Abuja, Nigeria

Obinna M Ayogu et al. World Neurosurg X. .

Abstract

Background: Complications associated with ventriculoperitoneal shunt insertion constitute a significant cause of morbidity and mortality among hydrocephalus patients. Despite this, VP shunt placement has remained the mainstay of treatment for hydrocephalus. The aim of this study is to evaluate the complications of VP shunt surgery in our environment and to identify the risk factors associated with it.

Methodology: Patients who had VP shunt surgery over a period of two years (Jan 2015-December 2016) were evaluated retrospectively by reviewing their hospital records. The patients' demography, aetiology and clinical presentation of the hydrocephalus, and complications were analysed using SPSS version 26.0. Results were presented in tables and figures.

Results: A total of 69 patients who had VP shunt over the study period had complete medical records available for review. Their age ranged between 2days and 68years with a male to female ratio of 1.8:1. Overall complication rate was 30.4%. Shunt malfunction (11.5%) and shunt infection (7.2%) were the commonest complications recorded. Late presentation was the most important risk factor for shunt complications.

Conclusion: The rate of shunt complications seen in this study compares fairly with studies in other parts of the world.

Keywords: Hydrocephalus; Shunt infection; Shunt malfunction; Ventriculoperitoneal shunt.

PubMed Disclaimer

Conflict of interest statement

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Figures

Fig. 1
Fig. 1
Bar chart illustrating the clinical presentations in this series.
Fig. 2
Fig. 2
Pie chart illustrating the diagnoses accounting for ventriculoperitoneal shunts in this series.
See this image and copyright information in PMC

References

    1. Rekate H.L. A contemporary definition and classification of hydrocephalus. Semin Pediatr Neurol. 2009 Mar;16(1):9–15. - PubMed
    1. Jones H.C., Klinge P.M. Hydrocephalus 2008, 17-20 th September, hannover Germany: a conference report. Cerebrospinal Fluid Res. 2008;5:19. - PMC - PubMed
    1. Garton H.J., Piatt J.H., Jr. Hydrocephalus. Pediatr Clin North Am. 2004;51:305–325. - PubMed
    1. Chumas P., Pople I., Mallucci C., Steers J., Crimmins D. British paediatric neurosurgery - a time for change? Br J Neurosurg. 2008;22:719–728. - PubMed
    1. Fernández-Méndez R., Richards H.K., Seeley H.M., UKSR collaborators, et al. Current epidemiology of cerebrospinal fluid shunt surgery in the UK and Ireland (2004–2013) J Neurol Neurosurg Psychiatr. 2019;90:747–754. - PMC - PubMed

LinkOut - more resources