Combined early myelomeningocele repair and antibiotic-impregnated ventriculoperitoneal shunt insertion in treatment of Chiari 2 malformation with overt hydrocephalus: Outcome of 25 consecutive cases
Soliman, A., Al Sharkawy, K., Elkheshin, S. (2022). Combined early myelomeningocele repair and antibiotic-impregnated ventriculoperitoneal shunt insertion in treatment of Chiari 2 malformation with overt hydrocephalus: Outcome of 25 consecutive cases. EKB Journal Management System, 17(1), 15-23. doi: 10.21608/pajn.2021.82219.1026
Ahmed Y. Soliman; Kareem Al Sharkawy; Sherif Y. Elkheshin. "Combined early myelomeningocele repair and antibiotic-impregnated ventriculoperitoneal shunt insertion in treatment of Chiari 2 malformation with overt hydrocephalus: Outcome of 25 consecutive cases". EKB Journal Management System, 17, 1, 2022, 15-23. doi: 10.21608/pajn.2021.82219.1026
Soliman, A., Al Sharkawy, K., Elkheshin, S. (2022). 'Combined early myelomeningocele repair and antibiotic-impregnated ventriculoperitoneal shunt insertion in treatment of Chiari 2 malformation with overt hydrocephalus: Outcome of 25 consecutive cases', EKB Journal Management System, 17(1), pp. 15-23. doi: 10.21608/pajn.2021.82219.1026
Soliman, A., Al Sharkawy, K., Elkheshin, S. Combined early myelomeningocele repair and antibiotic-impregnated ventriculoperitoneal shunt insertion in treatment of Chiari 2 malformation with overt hydrocephalus: Outcome of 25 consecutive cases. EKB Journal Management System, 2022; 17(1): 15-23. doi: 10.21608/pajn.2021.82219.1026

Combined early myelomeningocele repair and antibiotic-impregnated ventriculoperitoneal shunt insertion in treatment of Chiari 2 malformation with overt hydrocephalus: Outcome of 25 consecutive cases

Pan Arab Journal of Neurosurgery
Article 4, Volume 17, Issue 1, June 2022, Page 15-23  XML PDF (683.95 K)
Document Type: Original Articles
DOI: 10.21608/pajn.2021.82219.1026
View on SCiNiTO View on SCiNiTO
Authors
Ahmed Y. Soliman email 1; Kareem Al Sharkawy2; Sherif Y. Elkheshin1
1Tanta University Faculty of Medicine
2Plastic surgery department ,Tanta University,Egypt
Abstract
Abstract
Background: Shunt infection represents a serious complication in patients undergoing repair of myelomeningocele (MMC) with overt hydrocephalus.
Objective: This study aimed to assess the infection rate in patients who underwent combined early MMC repair with placement of antibiotic-impregnated shunt at the same setting.
Methods: This study was carried out on live birth neonates with MMC and overt hydrocephalus who were admitted to Tanta University Hospitals during March 2014 throughout October 2019. All patients underwent simultaneous repair of MMC and placement of antibiotic-impregnated shunt within 48 hours after birth. Patients were followed up for six months postoperatively.
Results: Twenty-five patients were included. Evan’s index significantly decreased after surgery (0.340.03 vs. 0.290.02, respectively; p < 0.001). Postoperative complications included partial wound dehiscence (12%) and infection (8%).
Conclusion: Antibiotic-impregnated shunts have a potential prophylactic role in the management of neonates with MMC and overt hydrocephalus. However, clinical trials with larger sample size and a control arm with standard shunts should be conducted to elucidate this effect.

Keywords: hydrocephalus; infection ;myelomeningocele; ventriculoperitoneal shunt .
Keywords
hydrocephalus; infection; myelomeningocele; ventriculo-peritoneal shunt
Statistics
Article View: 137
PDF Download: 260