Application Of Pneumoperitoneum Catheterization Technique In VPS And The Application Of Three Ventricle Floor Fistula In Children With Hydrocephalus

Objective: To investigate the insufflation needle techniqueadvantages compared to traditional open tube, as well as the use of thevalue of hydrocephalus shunt surgery.Methods: Randomly divided into experimental and control groups in thehospital for treatment of40cases of hydrocephalus patients Compare postoperative radiographic outcomes for patients, as well as the clinicalsymptoms of post operative complications status indicators. Results:Compared to traditional open tube, insufflation needle short end operationtime, about half an hour; experimental group after preoperative doublelateral forehead with the tip of the ratio of the ratio of the maximum widthof the control group of similar, and the clinical symptoms similar to thecase; incidence of postoperative complications, but the experimentalgroup was significantly lower than the control group(p <0.05).Conclusion: Insufflation needle surgery can reduce surgical trauma,reduced post operative complications, shorter operative time and hospitalstay, hospital costs and save medical resources in hydrocephalus shuntsurgery great clinical value, worthy of promotion. Objective: To investigate the appropriate way for thetreatment of children with Communicating hydrocephalus. Methods:118consecutive children underwent surgery treatment for Communicatinghydrocephalus from January2002to July2011were included in thisretrospective study.86cases were treated with Ventriculo-peritoneal Shunt(VPS),36cases with non-regulator tube and others with regulator tube.32cases were treated with Endoscopic Third Ventriculostomy (ETV). χ2test wasused to compared the failure rate of surgical interventions of both procedures.Results: Use of non-regulator shunt tube36cases,23cases failed for the firsttime; the use regulator shunt tube50cases,19cases failed for the first time.Both statistical comparisons, p <0.05, there were significant difference.86caseswere treated with VPS,42cases failed for the first time;32cases were treatedwith ETV,9cases failed for the first time. Both statistical comparisons in1year, p>0.05, there were no significant difference. Both general surgery for thefirst time failure rate statistical comparisons, p<0.05, there were significantdifferences. Conclusion: There were no significant difference in the short termbetween the two procedures, but the patients with ETV obtain a lower risk ofcomplications and the impact on the growth and also the development in longterm follow-up. Therefore, we recommend that children with hydrocephalus forETV treatment. In addition, regulator tube should be used to the VPS cases asmuch as possible, and the reservation length of the tube was determined by theadult height of the children which be assessed by “Hafer Nicek formula”.