Does shunt selection affect the rate of early shunt complications in neonatal myelomeningocele-associated hydrocephalus? a multi-center study

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dc.contributor.authorKahilogullari, Gokmen
dc.contributor.authorEtus, Volkan
dc.contributor.authorMorali, Tugba Guler
dc.contributor.authorKarabagli, Hakan
dc.contributor.authorUnlu, Agahan
dc.date.accessioned2020-03-26T19:53:26Z
dc.date.available2020-03-26T19:53:26Z
dc.date.issued2018
dc.departmentSelçuk Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü en_US
dc.description.abstractAIM: To evaluate the effect of shunt selection on the rate of shunt revision due to early shunt complications in neonatal myelomeningocele-associated hydrocephalus. MATERIAL and METHODS: The data of 157 neonatal myelomeningocele cases in three pediatric neurosurgery centers (Ankara University, Kocaeli University, Selcuk University) who underwent shunt surgery at the time of myelomeningocele repair between 2000 and 2014 were retrospectively analyzed. Clinical features of the patients, shunt types, and early shunt complications within the first three months were recorded. The patients were classified according to several features of the shunt systems, such as the valve type, valve size/contour and catheter type. RESULTS: Of all patients, 71 (45.2%) underwent early shunt revision surgery due to various complications. Mechanical complications were the most frequent cause of shunt failure, followed by infection. There was no significant difference among the valve types. Also, no significant difference was observed among the catheter types. Only valve contour/size (contoured regular/ultra-small/burr-hole/cylindrical/neonatal) seemed to significantly affect the rate of early complications. The patients with neonatal-design valves or ultrasmall valves had significantly less complications, such as poor wound-healing, wound-dehiscence, cerebrospinal fluid leak or shunt exposure. The infection rate secondary to these complications was found to be lower. CONCLUSION: Myelomeningocele patients with prominent hydrocephalus frequently have a friable skin, due to reduced macrocrania-related subcutaneous tissues. Small-sized (neonatal-design or ultra-small) valves may significantly reduce the early shunt complication rate among this population.en_US
dc.identifier.citationKahilogullari, G., Etus, V., Morali, T. G., Karabagli, H., Unlu, A. (2018). Does Shunt Selection Affect the Rate of Early Shunt Complications in Neonatal Myelomeningocele-Associated Hydrocephalus? A Multi-Center Study. Turkish Neurosurgery, 28(2), 303-306.
dc.identifier.doi10.5137/1019-5149.JTN.18547-16.1en_US
dc.identifier.endpage306en_US
dc.identifier.issn1019-5149en_US
dc.identifier.issue2en_US
dc.identifier.pmid27593850en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage303en_US
dc.identifier.urihttps://dx.doi.org/10.5137/1019-5149.JTN.18547-16.1
dc.identifier.urihttps://hdl.handle.net/20.500.12395/36504
dc.identifier.volume28en_US
dc.identifier.wosWOS:000428044700021en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_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.subjectHydrocephalusen_US
dc.subjectShunt infectionen_US
dc.subjectShunt malfunctionen_US
dc.subjectMyelomeningoceleen_US
dc.subjectNeonateen_US
dc.titleDoes shunt selection affect the rate of early shunt complications in neonatal myelomeningocele-associated hydrocephalus? a multi-center studyen_US
dc.typeArticleen_US

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