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Background <p>Ventriculo-peritoneal shunt insertion is an age-long and yet persistent procedure employed for the management of hydrocephalus in children. Although, the concerns of foreign body implantation and possible complications, is gaining attention, many surgeons continue to use ventriculo-peritoneal shunt to surgically treat hydrocephalus. In low-resource settings with limited or unavailable modern techniques of managing hydrocephalus, can ventriculoperitoneal shunting be maintained in these centres? This five-year retrospective study was conducted in order to review the outcomes of children who had ventriculo-peritoneal shunting for hydrocephalus in a low-resource centre, to determine the safety of the procedure and its continuous use in low resource settings.</p> Results <p>The commonest aetiology of hydrocephalus was aqueductal stenosis, 43/99 (43.4%). There was a significant association between age of patients and aetiology of hydrocephalus with aqueductal stenosis and myelomeningocele being the most common aetiology in infancy and brain tumour in older children. The complication rate of ventriculo-peritoneal shunt procedure in this study was 21.2% (21/99). Shunt infection was the most common complication, 8/99 (8.1%).</p> Conclusion <p>This study showed that ventriculo-peritoneal shunting for paediatric hydrocephalus has acceptable complication profile. This may remain a veritable means of managing childhood hydrocephalus, especially in low- resource settings with limited or unavailable newer techniques of hydrocephalus management.</p>

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The outcomes of ventriculoperitoneal shunt insertion for paediatric hydrocephalus in a resource-limited setting: a Nigerian tertiary institution 5-year experience

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年5月24日

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  • Nurudeen Abiola Adeleke,
  • Nurudeen Toyin Abdulraheem,
  • Olakunle Michael Adegboye,
  • Stanley Onyeka Nnara,
  • Faheedah Bukola Bello,
  • Oghenevwoke Enaworu,
  • Olukorede Olabanji Adekunle,
  • Abdulrasheed Adegoke Nasir

摘要

Background

Ventriculo-peritoneal shunt insertion is an age-long and yet persistent procedure employed for the management of hydrocephalus in children. Although, the concerns of foreign body implantation and possible complications, is gaining attention, many surgeons continue to use ventriculo-peritoneal shunt to surgically treat hydrocephalus. In low-resource settings with limited or unavailable modern techniques of managing hydrocephalus, can ventriculoperitoneal shunting be maintained in these centres? This five-year retrospective study was conducted in order to review the outcomes of children who had ventriculo-peritoneal shunting for hydrocephalus in a low-resource centre, to determine the safety of the procedure and its continuous use in low resource settings.

Results

The commonest aetiology of hydrocephalus was aqueductal stenosis, 43/99 (43.4%). There was a significant association between age of patients and aetiology of hydrocephalus with aqueductal stenosis and myelomeningocele being the most common aetiology in infancy and brain tumour in older children. The complication rate of ventriculo-peritoneal shunt procedure in this study was 21.2% (21/99). Shunt infection was the most common complication, 8/99 (8.1%).

Conclusion

This study showed that ventriculo-peritoneal shunting for paediatric hydrocephalus has acceptable complication profile. This may remain a veritable means of managing childhood hydrocephalus, especially in low- resource settings with limited or unavailable newer techniques of hydrocephalus management.