The Association between the Timing of Shunt Placement and Shunt Infection in Hydrocephalus Associated with Myelomeningocele

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dc.authorscopusid55372092900
dc.authorscopusid55843167500
dc.contributor.authorGürbüz, Mehmet Sabri
dc.contributor.authorYüksel, Mehmet Onur
dc.date.accessioned2022-05-11T14:34:48Z
dc.date.available2022-05-11T14:34:48Z
dc.date.issued2020
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Beyin ve Sinir Cerrahisi Ana Bilim Dalı
dc.description.abstractAIM: To determine whether the timing of shunt placement affects shunt infection rate in hydrocephalus associated with myelomeningocele (MMC). MATERIAL and METHODS: The cases of 67 consecutive patients who underwent MMC repair and ventriculoperitoneal (VP) shunt placement between 2010 and 2017 were analyzed, retrospectively. Shunt infection rates were compared for three different approaches: simultaneous shunting (MMC repair and shunting in the same session; n=22), early shunting (shunting in the first week after MMC repair; n=21), and delayed shunting (shunting in the second week after MMC repair; n=24). RESULTS: Three patients in the simultaneous shunting group (13.6%) and two patients in the early shunting group (9.5%) developed shunt infection, whereas no such infections occurred in the delayed shunting group (p>0.05). CONCLUSION: While the shunt infection rates for the simultaneous, early and delayed shunting groups were not significant, it is of interest that no shunt infections occurred in the delayed shunting group. Investigation with a larger number of patients is warranted to assess whether delayed shunting might reduce the risk of shunt infection.
dc.identifier.doi10.5137/1019-5149.JTN.26510-19.1
dc.identifier.endpage98
dc.identifier.issn1019-5149
dc.identifier.issue1en_US
dc.identifier.pmid31452179
dc.identifier.scopus2-s2.0-85080852462
dc.identifier.scopusqualityQ3
dc.identifier.startpage94
dc.identifier.urihttps://doi.org/10.5137/1019-5149.JTN.26510-19.1
dc.identifier.urihttps://hdl.handle.net/20.500.11776/8101
dc.identifier.volume30
dc.identifier.wosWOS:000509493100014
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorYüksel, Mehmet Onur
dc.language.isoen
dc.publisherTurkish Neurosurgical Soc
dc.relation.ispartofTurkish Neurosurgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectAntibiotics
dc.subjectHydrocephalus
dc.subjectMyelomeningocele
dc.subjectShunt infection
dc.subjectTiming
dc.subjectSpina-Bifida
dc.subjectChildren
dc.subjectInsertion
dc.subjectRepair
dc.subjectComplications
dc.subjectMeningomyelocele
dc.subjectExperience
dc.subjectManagement
dc.subjectClosure
dc.titleThe Association between the Timing of Shunt Placement and Shunt Infection in Hydrocephalus Associated with Myelomeningocele
dc.typeArticle

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