ISSN: 1859 - 2872
Combining cranioplasty with ventriculoperitoneal shunt for treatment the hydrocephalus after decompressive craniectomy: Analysis of 34 patients
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Abstract
Objective: To analyze our database concerning the optimal timing of cranioplasty and ventriculoperitoneal shunt (VPS) regarding postoperative complications. Subject and method: This is a retrospective cohort study including 34 patients of hydrocephalus following decompressive craniotomy (DC) who underwent simultaneous and staged procedures of cranioplasty and VPS from January 2018 and January 2023 with at least 6 months of follow-up. Patient characteristics, clinical findings, and complications were collected and analyzed. Result: Thirteen patients with hydrocephalus underwent simultaneous procedures and 21 patients underwent staged surgeries. The overall complication rate was 35.3%. Patients who underwent simultaneous cranioplasty and VPS suffered significantly more often from complications compared with patients who underwent staged cranioplasty and VPS procedures (46.1% vs. 28.6%, p<0.05). Conclusion: The present data suggest that patients who undergo staged cranioplasty and VPS procedures might benefit from a lower complication rate.
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References
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