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AN AUDIT OF COMPLICATIONS ASSOCIATED VP SHUNT PLACEMENT IN CASES OF HYDROCEPHALUS

Dr. Malik Liaqat Ali Jalal, Dr. Muhammad Shaukat Farooq, Dr. Atta ur Rehman Khan

Objective: To assess the complications associated VP shunt placement in cases of Hydrocephalus Material and methods: This cross sectional study was conducted at Department of Neurosurgery DG Khan Hospital, DG Khan from September 2018 to March 2019. Total 150 patients requiring VP shunt placement having age ≥1 years either male or female were selected. After VP shunt placement, at 6 months follow up, complications was assessed. Results: Out of 150 patients (after VP shunt placement), 40 (27%) patients found with complications after surgery. (Fig. 1) Out of 40 patients with complications, infection was noted in 18 (45%) patients followed by blocked shunt in 8 (20%) patients, disconnection of Ventricular Catheter with Distal Part in 4 (10%) patients, malposition in 3 (7.5%) patients, extrusion of shunt through anus 2 (5%) patients, shunt ascites 3 (7.5%) patients and seizures in 2 (5%) patients. Conclusion: Findings of this study showed a higher rate of complications after VH shunt insertion in cases of hydrocephalus. Most common complication was VP shunt infection. Most of the patients were male and male population was found higher complication rate as compared to female population. But difference was statistically insignificant. Highly significant association complications with age groups was noted. Key words: PV Shunt, complication, hydrocephalus, infection

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