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Child's Nervous System

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01-06-2018 | Original Paper

Management of exposed ventriculoperitoneal shunt on the scalp in pediatric patients

Author: Osman Akdag

Published in: Child's Nervous System | Issue 6/2018

Abstract

Purpose

The exposure of a ventriculoperitoneal shunt on the scalp is a serious complication. There are limited studies evaluating this complication’s management in the literature. The aim of this study is to define the management of shunt salvage and the reconstruction of the scalp.

Methods

This retrospective study included seven pediatric patients with ventriculoperitoneal shunts that were exposed on the scalp for various reasons. The demographic characteristics of the patients and the medical and surgical treatments used were recorded. The patient follow-up durations and complications associated with these methods were determined.

Results

Four female and three male patients with an average age of 5.7 were followed for an average of 9.4 months. All but one of these patients were treated without removing the shunt. While one skin flap was used in one patient, successful repairs were made with double skin flaps in five patients. There were no complications during follow-up for the patients treated with these methods.

Conclusion

In this study, the appropriate management of shunt exposure, which is common in pediatric cases, has been revealed. Given appropriate infection prevention, the reconstruction of the scalp is possible without the removal of the shunt.

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Title: Management of exposed ventriculoperitoneal shunt on the scalp in pediatric patients
Author: Osman Akdag
Publication date: 01-06-2018
Publisher: Springer Berlin Heidelberg
Published in: Child's Nervous System / Issue 6/2018
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI: https://doi.org/10.1007/s00381-017-3702-9

At a glance: The STEP trials

Springer Medicine

Management of exposed ventriculoperitoneal shunt on the scalp in pediatric patients

Abstract

Purpose

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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