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Complications of Hydrocephalus Surgery in Children: Study of 18 Cases at the University Hospital Center of Conakry

Received: 15 June 2021    Accepted: 26 June 2021    Published: 21 July 2021
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Abstract

Context and Objective: Hydrocephalus is the active abnormal dilation of the cerebral ventricular cavities and leads to a disorder of cerebrospinal fluid dynamics. Ventriculoperitoneal shunt and ventriculocisternostomy shunt are the most frequently used techniques in our context. However, a number of complications can occur. Our goal is to contribute to the improvement of the prevention of complications in the surgical management of hydrocephalus. Patients and Method: This is an observational study, over a period of five years and six months, of children aged 0-15 years who have undergone hydrocephalus surgery. All these data and their correlations were analyzed on Excel and EPI Info tables in version 7.2.3.1. The study was previously submitted to the ethics committee for approval. Anonymity and compliance with ethical rules were the norm. Results: We collected 18 cases of complications, i.e. 11.92%. Infants were the most affected with 16.70%. Most of the patients had a risk factor of neighborhood skin lesions. These were mainly infectious complications 50% and mechanical complications 33.30%. For the management of complications, equipment removal and revision/replacement were the procedures most frequently adopted, with frequencies of 50% and 22.20%. 66.70% were improved. Conclusion: The management of hydrocephalus is essentially neurosurgical and involves ventriculoperitoneal shunt and ventriculocisternostomy shunt, which, despite their effectiveness, are sometimes accompanied by various complications, including infectious ones, which were found to be at the forefront of this study. Even if the evolution has been favorable for 2/3 of the children studied, we believe that the constant search for risk factors for complications and the education of the parents of the children will limit the occurrence of the complications found.

Published in International Journal of Neurosurgery (Volume 5, Issue 2)
DOI 10.11648/j.ijn.20210502.12
Page(s) 62-65
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Complications, Hydrocephalus, Children, Post-surgery

References
[1] Gandaho HJ-T, Hounton SH, Kelani A, Darga C, Hoinson-Hans I, Agbani F, et al. Traitement de l’hydrocéphalie par dérivation ventriculo-péritonéale : impact socio-économique et familial à Cotonou, Bénin. Afr Santé Publique Dév. 2017; 29 (2): 1‑8.
[2] Mbonihankuye A, Lmejjati M, Ait Benali S. Les complications des dérivations ventriculo-péritonéales dans les hydrocéphalies (Expérience du service de neurochirurgie sur 5 ans : de 2003 à 2008). Fac Médecine Pharm - Marrakech. 2011; 4.
[3] Souaré IS, Souaré ISJ, Boubane DT, Diawara S, Bah AB, Béavogui LK. Complications post opératoires de l’hydrocéphalie à l’hôpital de l’amitié sino-guinéen. 1ère Ed Forum Méd Sino-Ouest Afr Guinée Actions Experts Neurochir Int En Guinée. 2018; 28.
[4] Jilla M. Les complications de la dérivation ventriculo-peritoneale (Aproposde 37 cas). [FES]: Universite Sidi Mohammed Ben Abdellah; 2013.
[5] Thiam AB, Canton-Kessely Y, Ndoye N, Thioub M, Maguette M, Ndiaye SEC, et al. Complications de la ventriculo-cisternostomie endoscopique (VCE) du 3ème ventricule. Afr J Neurogical Sci. 2016; 35 (2).
[6] Elkadadra M, Lmejjati M, Ait Benali S. Les complications et l’échec de la ventriculocisternostomie par voie endoscopique. Fac Médecine Pharm - Marrakech. 2013; (16).
[7] Adjenou Komlanvi V Et Coll. ETF ET TDM dans le diagnostic des hydrocephalies chez l’enfant à lomé. J. Rech. Sci. Univ. Lomé (Togo), 2012, 14 (2): 39-45.
[8] Vaessen S, Mouchamps M, Born J, Lepage Ph. Hydrocéphalie Chez L’enfant: étiologies - traitements – résultats. Rev Med Liege 2006; 61: 2: 87-90.
[9] Broalet M. Y. E, Ndri Oka D, Konan L, Diakité I, Konan S, Ba Zézé V. Hydrocéphalie de l’enfant: expérience d’un hôpital ouest-africain. 10.1016/j.neuchi.2011.09.046.
[10] Sissoko D M. Complications de la dérivation ventriculo-péritonéale dans le service de neurochirurgie du CHU Gabriel Touré. These de doctorat 2011.
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  • APA Style

    Ibrahima Sory Souare, Aminata Fofana, Hugues Ghislain Atakla, Ibrahima Sory Junior Souare, Daniel Boubane Tama. (2021). Complications of Hydrocephalus Surgery in Children: Study of 18 Cases at the University Hospital Center of Conakry. International Journal of Neurosurgery, 5(2), 62-65. https://doi.org/10.11648/j.ijn.20210502.12

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    ACS Style

    Ibrahima Sory Souare; Aminata Fofana; Hugues Ghislain Atakla; Ibrahima Sory Junior Souare; Daniel Boubane Tama. Complications of Hydrocephalus Surgery in Children: Study of 18 Cases at the University Hospital Center of Conakry. Int. J. Neurosurg. 2021, 5(2), 62-65. doi: 10.11648/j.ijn.20210502.12

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    AMA Style

    Ibrahima Sory Souare, Aminata Fofana, Hugues Ghislain Atakla, Ibrahima Sory Junior Souare, Daniel Boubane Tama. Complications of Hydrocephalus Surgery in Children: Study of 18 Cases at the University Hospital Center of Conakry. Int J Neurosurg. 2021;5(2):62-65. doi: 10.11648/j.ijn.20210502.12

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  • @article{10.11648/j.ijn.20210502.12,
      author = {Ibrahima Sory Souare and Aminata Fofana and Hugues Ghislain Atakla and Ibrahima Sory Junior Souare and Daniel Boubane Tama},
      title = {Complications of Hydrocephalus Surgery in Children: Study of 18 Cases at the University Hospital Center of Conakry},
      journal = {International Journal of Neurosurgery},
      volume = {5},
      number = {2},
      pages = {62-65},
      doi = {10.11648/j.ijn.20210502.12},
      url = {https://doi.org/10.11648/j.ijn.20210502.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijn.20210502.12},
      abstract = {Context and Objective: Hydrocephalus is the active abnormal dilation of the cerebral ventricular cavities and leads to a disorder of cerebrospinal fluid dynamics. Ventriculoperitoneal shunt and ventriculocisternostomy shunt are the most frequently used techniques in our context. However, a number of complications can occur. Our goal is to contribute to the improvement of the prevention of complications in the surgical management of hydrocephalus. Patients and Method: This is an observational study, over a period of five years and six months, of children aged 0-15 years who have undergone hydrocephalus surgery. All these data and their correlations were analyzed on Excel and EPI Info tables in version 7.2.3.1. The study was previously submitted to the ethics committee for approval. Anonymity and compliance with ethical rules were the norm. Results: We collected 18 cases of complications, i.e. 11.92%. Infants were the most affected with 16.70%. Most of the patients had a risk factor of neighborhood skin lesions. These were mainly infectious complications 50% and mechanical complications 33.30%. For the management of complications, equipment removal and revision/replacement were the procedures most frequently adopted, with frequencies of 50% and 22.20%. 66.70% were improved. Conclusion: The management of hydrocephalus is essentially neurosurgical and involves ventriculoperitoneal shunt and ventriculocisternostomy shunt, which, despite their effectiveness, are sometimes accompanied by various complications, including infectious ones, which were found to be at the forefront of this study. Even if the evolution has been favorable for 2/3 of the children studied, we believe that the constant search for risk factors for complications and the education of the parents of the children will limit the occurrence of the complications found.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Complications of Hydrocephalus Surgery in Children: Study of 18 Cases at the University Hospital Center of Conakry
    AU  - Ibrahima Sory Souare
    AU  - Aminata Fofana
    AU  - Hugues Ghislain Atakla
    AU  - Ibrahima Sory Junior Souare
    AU  - Daniel Boubane Tama
    Y1  - 2021/07/21
    PY  - 2021
    N1  - https://doi.org/10.11648/j.ijn.20210502.12
    DO  - 10.11648/j.ijn.20210502.12
    T2  - International Journal of Neurosurgery
    JF  - International Journal of Neurosurgery
    JO  - International Journal of Neurosurgery
    SP  - 62
    EP  - 65
    PB  - Science Publishing Group
    SN  - 2640-1959
    UR  - https://doi.org/10.11648/j.ijn.20210502.12
    AB  - Context and Objective: Hydrocephalus is the active abnormal dilation of the cerebral ventricular cavities and leads to a disorder of cerebrospinal fluid dynamics. Ventriculoperitoneal shunt and ventriculocisternostomy shunt are the most frequently used techniques in our context. However, a number of complications can occur. Our goal is to contribute to the improvement of the prevention of complications in the surgical management of hydrocephalus. Patients and Method: This is an observational study, over a period of five years and six months, of children aged 0-15 years who have undergone hydrocephalus surgery. All these data and their correlations were analyzed on Excel and EPI Info tables in version 7.2.3.1. The study was previously submitted to the ethics committee for approval. Anonymity and compliance with ethical rules were the norm. Results: We collected 18 cases of complications, i.e. 11.92%. Infants were the most affected with 16.70%. Most of the patients had a risk factor of neighborhood skin lesions. These were mainly infectious complications 50% and mechanical complications 33.30%. For the management of complications, equipment removal and revision/replacement were the procedures most frequently adopted, with frequencies of 50% and 22.20%. 66.70% were improved. Conclusion: The management of hydrocephalus is essentially neurosurgical and involves ventriculoperitoneal shunt and ventriculocisternostomy shunt, which, despite their effectiveness, are sometimes accompanied by various complications, including infectious ones, which were found to be at the forefront of this study. Even if the evolution has been favorable for 2/3 of the children studied, we believe that the constant search for risk factors for complications and the education of the parents of the children will limit the occurrence of the complications found.
    VL  - 5
    IS  - 2
    ER  - 

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Author Information
  • Neurosurgery Department, University Hospital Center, Conakry, Guinea

  • Neurosurgery Department, University Hospital Center, Conakry, Guinea

  • Neurology Department, University Hospital Center Hubert Koutoukou MAGA, Cotonou, Benin

  • Neurosurgery Department, University Hospital Center, Conakry, Guinea

  • Neurosurgery Department, University Hospital Center, Conakry, Guinea

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