Treatment of hydrocephalus in patients with meningomyelocele or encephalocele: a recent series.
Meningomyelocele/encephalocele with associated ventriculomegaly can be treated as a single-stage procedure (i.e., both lesions treated simultaneous) or as two-stage procedures (i.e., each lesion treated at a separate time). A delay in closure of the meningomyelocele/encephalocele is associated with a higher incidence of ventriculitis/ventricular shunt infection-particularly when closure is performed more than 36 h after birth. In these situations, closure followed by surveillance cultures, appropriate antibiotics, ventricular drainage, and then delayed ventricular shunting seems more reasonable.
Gamache
F W
FW
New York Hospital-Cornell Medical Center, New York 10021, USA.
D003428:Cross Infection / Q000601:surgery; D004677:Encephalocele / Q000601:surgery*; D005260:Female; D006801:Humans; D006849:Hydrocephalus / Q000601:surgery*; D007231:Infant, Newborn; D008297:Male; D008591:Meningomyelocele / Q000601:surgery*; D011183:Postoperative Complications / Q000601:surgery; D012086:Reoperation; D012307:Risk Factors; D013530:Surgical Wound Infection / Q000601:surgery; D017287:Ventriculoperitoneal Shunt