COMPARISON OF ENDOSCOPIC THIRD VENTRICULOSTOMY AND VENTRICULOPERITONEAL SHUNT FOR OBSTRUCTIVE HYDROCEPHALUS: A RECENT SYSTEMATIC REVIEW AND META-ANALYSIS
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Keywords
Hydrocephalus, endoscopic third ventricular ostomy (ETV), ventricular peritoneal shunt (VPS), systematic review, meta-analysis, comparative efficacy
Abstract
Increased intracranial pressure and dilated ventricles are characteristics of hydrocephalus, a medical disorder caused by problems with the increased level of cerebrospinal fluid. This research meta-analyses previous studies to determine whether or not a shunt placed in the abdominal cavity is more successful than an ETV in treating obstructive hydrocephalus. Results Our examined cases for operational cases are operative cases. Postoperative infection, haemorrhage, blockage rate, cerebrospinal fluid leakage, and death from five randomised clinical trials including 88 patients. The risks of infection, obstruction, death, haemorrhage, and cerebrospinal fluid leakage were all decreased by 81%, 56%, 35%, and 56%, respectively, with ETV compared to VPS. However, the need for individual randomizedlised treatment decisions is emphasised by the diversity in outcome criteria and patient characteristics. While the findings from this study are helpful, further in-depth studies and age-specific analysis are required to adequately advise treatment recommendations. Aiming for standardized criteria in future research will help decrease result heterogeneity.
Study design: Meta-analyses-Study
Palace and duration of study: Department Of Neurosurgery Mmc Hospital Mardan, Pakistan From Jan 2022 To Jan 2023
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Naeem ul Haq
Associate Professor, Neurosurgery Unit, Mardan Medical Complex, KP, Pakistan
Warda Naeem
Anaesthesia Department MMC. Mardan medical Complex, KP, Pakistan