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Vol. 1. Núm. 5.
Páginas 293-295 (enero 1990)
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Vol. 1. Núm. 5.
Páginas 293-295 (enero 1990)
Complicaciones abdominales en la edad pediátrica de las derivaciones ventrículo-peritoneales
Visitas
3119
J. Bosch, J.M. Poch, E. Rubio
Servicio de Pediatría. Ciudad Sanitaria Vall d'Hebrón. Universidad Autónoma. Barcelona
F.A. Moraga*, P. Terradas*
* Servicio de Neurocirugía. Ciudad Sanitaria Vall d'Hebrón. Universidad Autónoma. Barcelona
Este artículo ha recibido
Información del artículo
Resumen

Se han revisado las complicaciones relacionadas con el catéter distal de 548 derivaciones ventrículo-peritoneales implantadas durante un período de 12 años, exceptuando las infecciones que afectan a todo el sistema valvular.

En 31 casos (5,6 %) se observó algún tipo de complicación abdominal. Las de tipo mecánico (desconexión y obstrucción del catéter) con un 38,7 % (12 casos) e infecciosas (pseudoquiste peritoneal, absceso), con igual frecuencia, fueron las más frecuentes. Otras complicaciones encontradas han sido: hernia inguinal (4/12,9 %), oclusión intestinal 1/3,2 %), perforación intestinal (1/3,2 %) y ascitis (1/3,2 %).

Las derivaciones ventrículo-peritoneales son las más utilizadas en el niño por tener menor número y gravedad de complicaciones, por la sencillez técnica de su implantación y por requerir menos revisiones profilácticas.

Palabras clave:
Hidrocefalia
niño
derivación ventrículo-peritoneal
complicaciones
Summary

Thirty-one out of 548 (5,6 %) venticuloperitoneal shunts implanted in children_with hydrocephalus in twelve years, developed abdominals complications. Twelve (38,7 %) abdominal infection (pseudocyst, abcess). The rest of complications (7/22,5 %) were miscellany: inguinal hernia (4/12,9 %), volvulus (1/3,2 %), intestinal perforation (1/3,2 %) and ascites (1/3,2 %). Ventriculoperitoneal shunts are the procedure more useful in the treatment of hydrocephalus in children because of the simple operative procedure and less serious complications.

Key words:
Hidrocephalus
children
ventriculoperitoneal shunts
complications

Artículo

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