Surgical treatment problems of hydrocephalus caused by spontaneus intraventricular hemorrhage in prematurely born children

Abstract

AIm:The aim of this study was to identify the most appropriate method of surgical treatment of hydrocephalus in preterm infants that is caused by spontaneous intraventricular hemorrhage (IVH) and to identify predictive factors of poor perioperative outcomes. mAteRIAl and methods:We present a series of 60 patients with IVH and hydrocephalus, to whom a VP shunt or subcutaneous (Omaya) reservoir was placed, during the period from March 2006 to March 2011. Results ConClusIon:The outcome of hydrocephalus caused by IVH in premature born children is the worst in perinatology. Our results suggest that the main predictive factor is preoperative condition of the child and that the VP shunt and Omaya reservoir are complementary methods of surgical treatment. sonuÇ: Prematüre çocuklarda intraventriküler kanama nedeniyle oluşan hidrosefalinin sonuçları perinatoloji hastalıkları arasında en kötülerinden biridir. Sonuçlarımız ana prediktif faktörün çocuğun preoperatif durumu olduğunu ve VP şant ve Omaya rezervuarının tamamlayıcı cerrahi tedavi yöntemleri olduğunu göstermektedir.