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Association of Paediatric Surgeons of Bangladesh
Journal of Paediatric Surgeons of Bangladesh
Original Articles · Vol. 12 No. 1-2 (2021)

Outcomes and Predictors of Ventriculoperitoneal Shunt Failure in Children with Hydrocephalus

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JPSB
Journal of
Paediatric Surgeons of Bangladesh
Published : July 2021
CONTENTSVolume 12Number 1 & 2January - July 2021
Editorial
Birth defects: a challenge of Neonatal surgery
Md Tosaddeque Hossain Siddiqui
01
Original Articles
Comparative Outcomes of the Bishop Koop Procedure and Primary Anastomosis in Jejunoileal atresia
Fatema Sayeed, Md Ashraf Ul Huq, Md Tawhidul Islam, Bipul Bhusan Das, Samiul Hasan
03
Understanding the Unseen Burden of Common Health Problems of School-going Children in Sub-urban Area: Insights from a Single-day Health Programme
Arpita Biswangree, Md Fahadul Islam, Rifah Sanjeedah Tahsin, Rahatil Asyekin Raha, Mustari Nailah Tabassum, Bijita Biswangree, Zarrin Tasnim Anwar, Debjyoti Barua, Tarannum Mahmood, Md Sharif Imam, Tahmina Banu
10
Perspective Determination of the relationship between Bacteriuria and D-J Stent Colonization due to the indwelling of D-J Stent following A-H Pyeloplasty
Md Sharif Imam, Tanvir Kabir Chowdhury, Md Khurshid Alam Sarwar, Md Abdullah Al Farooq
17
Advancement in Paediatric Laparoscopic Surgery: Two Years’ Experience in A Tertiary Level Medical College Hospital in Bangladesh
Md Shahin Reza, Md Samidur Rahman, Elora Afroz Leema, Mashkurul Alam Minar, Mohammad Mahabubul Alam, Umma Fatema
24
Outcomes and Predictors of Ventriculoperitoneal Shunt Failure in Children with Hydrocephalus
Md Delwar Hossain, Ferdous K M N, Rahman A
30
Impact of single dose versus multidose prophylactic use of antibiotics in elective inguinal herniotomy in children: A prospective study
Muhammad Mizanur Rahman Shibli, Mahabur Rahman Sarker, Md Moniruzzaman, S M Noor E Shadid, A K M Mahbub Alam
37
Case Reports
Staged Pediatric Scalp Reconstruction for Extensive Lacerations with Necrosis Following Agricultural Machinery Injury: A Case Report
Aminur Rashid Sangeet, Ashik Ahsan, Kamrul Islam Mamun, Tazin Ahsan
41
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ASSOCIATION OF PAEDIATRIC SURGEONS OF BANGLADESH (APSB)
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Authors

  • Md Delwar HossainDepartment of Pediatric Neurosurgery, Bangladesh Shishu Hospital and Institute, Dhaka, Bangladesh
  • Ferdous K M NProfessor (CC), Department of Pediatric Surgery and Stem Cell Therapy Unit, Bangladesh Shishu Hospital and Institute, Dhaka, Bangladesh
  • Rahman AProfessor and Head, Department of Neonatal Surgery and Head, Division of Pediatric Surgery, Bangladesh Shishu Hospital and Institute, Dhaka, Bangladesh

Keywords

Ventriculoperitoneal shunt hydrocephalus pediatric neurosurgery shunt failure risk factors Bangladesh

Abstract

Background: Pediatric hydrocephalus is a common neurological condition requiring surgical intervention, primarily through ventriculoperitoneal (VP) shunt placement. Despite widespread use, VP shunt systems face complications, with failure rates remaining high, particularly in low- and middle-income countries (LMICs). Identifying risk factors for shunt failure is critical for improving outcomes. This study aimed to determine the incidence, types, timing, and predictors of VP shunt failure in children with hydrocephalus at a tertiary pediatric neurosurgical center in Bangladesh. Methods: This prospective observational study was conducted in the Department of Pediatric Neurosurgery, Bangladesh Shishu Hospital and Institute, from July 2021 to June 2024. A total of 226 pediatric patients (aged 0–18 years) who underwent primary or revision VP shunt procedures were included in this study. Baseline demographic and clinical data were collected. Patients were followed for one year postoperatively to assess shunt failure incidence and timing. Statistical analyses included chi-square and t-tests to identify risk factors associated with failure. Results: The overall shunt failure rate was 32.7%, predominantly due to mechanical obstruction (20.4%) and infection (10.2%). Most failures occurred within six months post-surgery (75.7%). Significant predictors of failure were age under six months (p=0.004), emergency surgery (p=0.024), post-infectious hydrocephalus (p=0.001), and longer surgery duration (p<0.001). Conclusion: VP shunt failure in pediatric hydrocephalus is influenced by patient age, surgical urgency, etiology, and operative factors. Tailored surgical strategies and stringent perioperative care are essential to improve outcomes in this vulnerable population.

Journal of Paediatric Surgeons of Bangladesh (2021) Vol. 12 (1 & 2): 30–36

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