dc.contributor.author | Noorani, S K | |
dc.date.accessioned | 2014-07-02T08:58:50Z | |
dc.date.available | 2014-07-02T08:58:50Z | |
dc.date.issued | 2003 | |
dc.identifier.citation | Masters in Surgery | en_US |
dc.identifier.uri | http://hdl.handle.net/11295/71622 | |
dc.description.abstract | A prospective study of 76 patients operated on for non-tumour
hydrocephalus by Ventriculoperitoneal (VP) shunt insertion was carried out
at the Kenyatta National Hospital between 1st September 2001 and 28th
February 2002. The commonest cause of the hydrocephalus in this study
was congenital (72.4%). The ages of the patients ranged from one month to
54 years and there were more males than females at a ratio of 1.5:1.
Twenty-three patients developed shunt complication, giving a complication
rate of 30.30/0. Shunt infection accounted for 65.2% of the complications
and shunt malfunction blockage for 30.5%.
The commonest clinical features associated with shunt infection in this
study were fever and irritability.
Vomiting and a bulging tense anterior fontanelle were the commonest
clinical features seen in shunt blockage.
The average time interval between diagnosis of hydrocephalus and first V-P
shunt insertion was 4 months in about fifty percent of the patients.
Of the different variables studied, (age of patient, interval between onset of
hydrocephalus and shunt insertion, length of surgery, seniority of the
surgeon and use of prophylactic antibiotics) none had any correlation to the
presence of shunt infection (p>0.05). However, type of shunt used was
associated with the development of shunt complication (p<0.05). | en_US |
dc.language.iso | en | en_US |
dc.publisher | University of Nairobi | en_US |
dc.title | Complications of ventriculoperitoneal shunt insertion as seen at Kenyatta National Hospital: a prospective study September 2001-February 2002 | en_US |
dc.type | Thesis | en_US |
dc.description.department | a
Department of Psychiatry, University of Nairobi, ; bDepartment of Mental Health, School of Medicine,
Moi University, Eldoret, Kenya | |