Early endoscopic ventricular irrigation for the treatment of neonatal posthemorrhagic hydrocephalus: a feasible treatment option or not? a multicenter study

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dc.contributor.authorEtus, Volkan
dc.contributor.authorKahilogullari, Gokmen
dc.contributor.authorKarabagli, Hakan
dc.contributor.authorUnlu, Agahan
dc.date.accessioned2020-03-26T19:53:28Z
dc.date.available2020-03-26T19:53:28Z
dc.date.issued2018
dc.departmentSelçuk Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü en_US
dc.description.abstractAIM: Neonatal intraventricular hemorrhage (IVH) usually results in posthemorrhagic hydrocephalus (PHH). This multicenter study describes the approach of early neuroendoscopic ventricular irrigation for the treatment of IVH/PHH and compares the results with the cases that have been initially treated only with conventional temporary cerebrospinal fluid (CSF) diversion techniques. MATERIAL and METHODS: The data of 74 neonatal PHH cases, that have been treated at three pediatric neurosurgery centers, were retrospectively analyzed. 23 neonates with PHH underwent early endoscopic ventricular irrigation (Group-A). 29 neonates were initially treated with conventional methods (Group-B). 22 neonates underwent ventriculosubgaleal shunt placement (Group-C). Complications, shunt dependency rates, incidence of multiloculated hydrocephalus and incidence of CSF infection were evaluated and compared retrospectively. RESULTS: Group-A, Group-B and Group-C cases did not differ significantly regarding gestational age and birth weight. In Group-A, 60.8% of the patients required a later shunt insertion, as compared with 93.1% of the cases in Group-B and 77.2% of the cases in Group-C. Group-A patients were also associated with significantly fewer CSF infections as well as significantly lower incidence for multiloculated hydrocephalus development as compared with Group-B and Group-C. CONCLUSION: Early removal of intraventricular blood degradation products and residual hematoma via neuroendoscopic ventricular irrigation is feasible and safe for the treatment of PHH in neonates with IVH. Neuroendoscopic technique seems to offer significantly lower shunt rates and fewer complications such as infection and development of multiloculated hydrocephalus in those cases.en_US
dc.identifier.citationEtus, V., Kahilogullari, G., Karabagli, H., Unlu, A. (2018). Early Endoscopic Ventricular Irrigation for the Treatment of Neonatal Posthemorrhagic Hydrocephalus: A Feasible Treatment Option or Not? A Multicenter Study. Turkish Neurosurgery, 28(1), 137-141.
dc.identifier.doi10.5137/1019-5149.JTN.18677-16.0en_US
dc.identifier.endpage141en_US
dc.identifier.issn1019-5149en_US
dc.identifier.issue1en_US
dc.identifier.pmid27759873en_US
dc.identifier.startpage137en_US
dc.identifier.urihttps://dx.doi.org/10.5137/1019-5149.JTN.18677-16.0
dc.identifier.urihttps://hdl.handle.net/20.500.12395/36511
dc.identifier.volume28en_US
dc.identifier.wosWOS:000423394400021en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorKarabagli, Hakan
dc.language.isoenen_US
dc.publisherTurkish Neurosurgical Socen_US
dc.relation.ispartofTurkish Neurosurgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectNeuroendoscopyen_US
dc.subjectHydrocephalusen_US
dc.subjectHemorrhageen_US
dc.subjectIntraventricularen_US
dc.subjectNeonateen_US
dc.titleEarly endoscopic ventricular irrigation for the treatment of neonatal posthemorrhagic hydrocephalus: a feasible treatment option or not? a multicenter studyen_US
dc.typeArticleen_US

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