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Temporary Surgical Management of Intraventricular Hemorrhage in Premature Infants

Post-hemorrhagic hydrocephalus (PHH) in preterm infant is common, life-threatening and the main cause of bad developmental outcomes. Ventriculoperitoneal (VP) shunt is used as the ultimate treatment for PHH. Low birth weight and low gestational age are the combination of worse prognostic factors whi...

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Autores principales: Park, Eun-Kyung, Kim, Ja-Yoon, Kim, Dong-Seok, Shim, Kyu-Won
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Neurosurgical Society 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10183253/
https://www.ncbi.nlm.nih.gov/pubmed/36992611
http://dx.doi.org/10.3340/jkns.2022.0265
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author Park, Eun-Kyung
Kim, Ja-Yoon
Kim, Dong-Seok
Shim, Kyu-Won
author_facet Park, Eun-Kyung
Kim, Ja-Yoon
Kim, Dong-Seok
Shim, Kyu-Won
author_sort Park, Eun-Kyung
collection PubMed
description Post-hemorrhagic hydrocephalus (PHH) in preterm infant is common, life-threatening and the main cause of bad developmental outcomes. Ventriculoperitoneal (VP) shunt is used as the ultimate treatment for PHH. Low birth weight and low gestational age are the combination of worse prognostic factors while the single most important prognostic factor of VP shunting is age. Aggressive and early intervention have better effect in intraventricular hemorrhage and intracranial pressures control. It reduces infection rate and brain damage resulted in delayed shunt insertion. It is extremely important to let PHH infants get older and gain weight to have internal organs to be matured before undergoing VP shunt. As premature infants undergo shunt after further growth, shunt-related complications would be reduced. So temporary surgical intervention is critical for PHH infants to have them enough time until permanently shunted.
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spelling pubmed-101832532023-05-15 Temporary Surgical Management of Intraventricular Hemorrhage in Premature Infants Park, Eun-Kyung Kim, Ja-Yoon Kim, Dong-Seok Shim, Kyu-Won J Korean Neurosurg Soc Review Article Post-hemorrhagic hydrocephalus (PHH) in preterm infant is common, life-threatening and the main cause of bad developmental outcomes. Ventriculoperitoneal (VP) shunt is used as the ultimate treatment for PHH. Low birth weight and low gestational age are the combination of worse prognostic factors while the single most important prognostic factor of VP shunting is age. Aggressive and early intervention have better effect in intraventricular hemorrhage and intracranial pressures control. It reduces infection rate and brain damage resulted in delayed shunt insertion. It is extremely important to let PHH infants get older and gain weight to have internal organs to be matured before undergoing VP shunt. As premature infants undergo shunt after further growth, shunt-related complications would be reduced. So temporary surgical intervention is critical for PHH infants to have them enough time until permanently shunted. Korean Neurosurgical Society 2023-05 2023-03-30 /pmc/articles/PMC10183253/ /pubmed/36992611 http://dx.doi.org/10.3340/jkns.2022.0265 Text en Copyright © 2023 The Korean Neurosurgical Society https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0 (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Park, Eun-Kyung
Kim, Ja-Yoon
Kim, Dong-Seok
Shim, Kyu-Won
Temporary Surgical Management of Intraventricular Hemorrhage in Premature Infants
title Temporary Surgical Management of Intraventricular Hemorrhage in Premature Infants
title_full Temporary Surgical Management of Intraventricular Hemorrhage in Premature Infants
title_fullStr Temporary Surgical Management of Intraventricular Hemorrhage in Premature Infants
title_full_unstemmed Temporary Surgical Management of Intraventricular Hemorrhage in Premature Infants
title_short Temporary Surgical Management of Intraventricular Hemorrhage in Premature Infants
title_sort temporary surgical management of intraventricular hemorrhage in premature infants
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10183253/
https://www.ncbi.nlm.nih.gov/pubmed/36992611
http://dx.doi.org/10.3340/jkns.2022.0265
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