Cargando…

Endoscopic third ventriculostomy versus ventriculoperitoneal shunt insertion for the management of pediatric hydrocephalus in African centers – A systematic review and meta-analysis

BACKGROUND: Ventriculoperitoneal shunt (VPS) insertion and endoscopic third ventriculostomy (ETV) are common surgical procedures used to treat pediatric hydrocephalus. There have been numerous studies comparing ETV and VPS, but none from an African perspective. In this study, we sought to compare ou...

Descripción completa

Detalles Bibliográficos
Autores principales: Jesuyajolu, Damilola Alexander, Zubair, Abdulahi, Nicholas, Armstrong Kpachi, Moti, Terngu, Osarobomwen, Osamagie Ehi, Anyahaebizi, Israel, Okeke, Charles, Davis, Samuel Olawale
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Scientific Scholar 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9610522/
https://www.ncbi.nlm.nih.gov/pubmed/36324983
http://dx.doi.org/10.25259/SNI_747_2022
_version_ 1784819290826866688
author Jesuyajolu, Damilola Alexander
Zubair, Abdulahi
Nicholas, Armstrong Kpachi
Moti, Terngu
Osarobomwen, Osamagie Ehi
Anyahaebizi, Israel
Okeke, Charles
Davis, Samuel Olawale
author_facet Jesuyajolu, Damilola Alexander
Zubair, Abdulahi
Nicholas, Armstrong Kpachi
Moti, Terngu
Osarobomwen, Osamagie Ehi
Anyahaebizi, Israel
Okeke, Charles
Davis, Samuel Olawale
author_sort Jesuyajolu, Damilola Alexander
collection PubMed
description BACKGROUND: Ventriculoperitoneal shunt (VPS) insertion and endoscopic third ventriculostomy (ETV) are common surgical procedures used to treat pediatric hydrocephalus. There have been numerous studies comparing ETV and VPS, but none from an African perspective. In this study, we sought to compare outcomes from African neurosurgical centers and review the associated complications. METHODS: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses were used in conducting this study. PubMed, Google Scholar, and African Journal Online were searched. Data on treatment successes and failures for ETV and VPS were pooled together and analyzed with a binary meta-analysis. A clinically successful outcome was defined as no significant event or complication occurring after surgery and during follow-up (e.g., infection, failure, CSF leak, malfunction, and mortality). Seven studies fully satisfied the eligibility criteria and were used in this review. RESULTS: There was no statistically significant difference between the outcomes of ETV and VPS (OR- 0.27; 95% CI −0.39–0.94, P = 0.42). After reviewing the rates of complications of ETV and VPS from the identified studies, four were recurrent. The infection rates of ETV versus VPS were 0.02% versus 0.1%. The mortality rates were 0.01% versus 0.05%. The reoperation rates were 0.05% versus 0.3%, while the rates of ETV failure and shunt malfunction were 0.2% versus 0.2%. CONCLUSION: This study concludes that there is no significant difference between the outcomes of ETV and VPS insertion.
format Online
Article
Text
id pubmed-9610522
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Scientific Scholar
record_format MEDLINE/PubMed
spelling pubmed-96105222022-11-01 Endoscopic third ventriculostomy versus ventriculoperitoneal shunt insertion for the management of pediatric hydrocephalus in African centers – A systematic review and meta-analysis Jesuyajolu, Damilola Alexander Zubair, Abdulahi Nicholas, Armstrong Kpachi Moti, Terngu Osarobomwen, Osamagie Ehi Anyahaebizi, Israel Okeke, Charles Davis, Samuel Olawale Surg Neurol Int Review Article BACKGROUND: Ventriculoperitoneal shunt (VPS) insertion and endoscopic third ventriculostomy (ETV) are common surgical procedures used to treat pediatric hydrocephalus. There have been numerous studies comparing ETV and VPS, but none from an African perspective. In this study, we sought to compare outcomes from African neurosurgical centers and review the associated complications. METHODS: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses were used in conducting this study. PubMed, Google Scholar, and African Journal Online were searched. Data on treatment successes and failures for ETV and VPS were pooled together and analyzed with a binary meta-analysis. A clinically successful outcome was defined as no significant event or complication occurring after surgery and during follow-up (e.g., infection, failure, CSF leak, malfunction, and mortality). Seven studies fully satisfied the eligibility criteria and were used in this review. RESULTS: There was no statistically significant difference between the outcomes of ETV and VPS (OR- 0.27; 95% CI −0.39–0.94, P = 0.42). After reviewing the rates of complications of ETV and VPS from the identified studies, four were recurrent. The infection rates of ETV versus VPS were 0.02% versus 0.1%. The mortality rates were 0.01% versus 0.05%. The reoperation rates were 0.05% versus 0.3%, while the rates of ETV failure and shunt malfunction were 0.2% versus 0.2%. CONCLUSION: This study concludes that there is no significant difference between the outcomes of ETV and VPS insertion. Scientific Scholar 2022-10-14 /pmc/articles/PMC9610522/ /pubmed/36324983 http://dx.doi.org/10.25259/SNI_747_2022 Text en Copyright: © 2022 Surgical Neurology International https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Review Article
Jesuyajolu, Damilola Alexander
Zubair, Abdulahi
Nicholas, Armstrong Kpachi
Moti, Terngu
Osarobomwen, Osamagie Ehi
Anyahaebizi, Israel
Okeke, Charles
Davis, Samuel Olawale
Endoscopic third ventriculostomy versus ventriculoperitoneal shunt insertion for the management of pediatric hydrocephalus in African centers – A systematic review and meta-analysis
title Endoscopic third ventriculostomy versus ventriculoperitoneal shunt insertion for the management of pediatric hydrocephalus in African centers – A systematic review and meta-analysis
title_full Endoscopic third ventriculostomy versus ventriculoperitoneal shunt insertion for the management of pediatric hydrocephalus in African centers – A systematic review and meta-analysis
title_fullStr Endoscopic third ventriculostomy versus ventriculoperitoneal shunt insertion for the management of pediatric hydrocephalus in African centers – A systematic review and meta-analysis
title_full_unstemmed Endoscopic third ventriculostomy versus ventriculoperitoneal shunt insertion for the management of pediatric hydrocephalus in African centers – A systematic review and meta-analysis
title_short Endoscopic third ventriculostomy versus ventriculoperitoneal shunt insertion for the management of pediatric hydrocephalus in African centers – A systematic review and meta-analysis
title_sort endoscopic third ventriculostomy versus ventriculoperitoneal shunt insertion for the management of pediatric hydrocephalus in african centers – a systematic review and meta-analysis
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9610522/
https://www.ncbi.nlm.nih.gov/pubmed/36324983
http://dx.doi.org/10.25259/SNI_747_2022
work_keys_str_mv AT jesuyajoludamilolaalexander endoscopicthirdventriculostomyversusventriculoperitonealshuntinsertionforthemanagementofpediatrichydrocephalusinafricancentersasystematicreviewandmetaanalysis
AT zubairabdulahi endoscopicthirdventriculostomyversusventriculoperitonealshuntinsertionforthemanagementofpediatrichydrocephalusinafricancentersasystematicreviewandmetaanalysis
AT nicholasarmstrongkpachi endoscopicthirdventriculostomyversusventriculoperitonealshuntinsertionforthemanagementofpediatrichydrocephalusinafricancentersasystematicreviewandmetaanalysis
AT motiterngu endoscopicthirdventriculostomyversusventriculoperitonealshuntinsertionforthemanagementofpediatrichydrocephalusinafricancentersasystematicreviewandmetaanalysis
AT osarobomwenosamagieehi endoscopicthirdventriculostomyversusventriculoperitonealshuntinsertionforthemanagementofpediatrichydrocephalusinafricancentersasystematicreviewandmetaanalysis
AT anyahaebiziisrael endoscopicthirdventriculostomyversusventriculoperitonealshuntinsertionforthemanagementofpediatrichydrocephalusinafricancentersasystematicreviewandmetaanalysis
AT okekecharles endoscopicthirdventriculostomyversusventriculoperitonealshuntinsertionforthemanagementofpediatrichydrocephalusinafricancentersasystematicreviewandmetaanalysis
AT davissamuelolawale endoscopicthirdventriculostomyversusventriculoperitonealshuntinsertionforthemanagementofpediatrichydrocephalusinafricancentersasystematicreviewandmetaanalysis