Effectiveness of neuroendoscopic procedures in the treatment of complex compartmentalized hydrocephalus in children.
OBJECTIVE
The main object of the work is to assess the suitability of neuroendoscopic techniques for the treatment of complex compartmentalized hydrocephalus.


METHODS
For this purpose the authors compared two groups of children treated in the Research Institute of the Polish Mother's Memorial Hospital from March 1997 to January 2002. The first group of 47 children, treated using neuroendoscopic procedures, was compared with the second, which comprised 80 children treated conventionally by complicated shunt implantations.


RESULTS
The children treated neuroendoscopically needed on average 1.7660 procedures during the entire therapy, and 1.0232 operations a year. The same parameters in the conventionally-treated group were as follows: the total number of procedures was 7.050, and the rate of reoperation was 3.949 procedures a year. The proportion of patients who suffered from complications connected with operative treatment and who had a bad outcome was higher in the conventionally-treated group than in the neuroendoscopic one.
Nowosławska
Emilia
E
Department of Neurosurgery, Research Institute of Polish Mother's Memorial Hospital, 281/289 Rzgowska Street, 93-338 Łódź, Poland. enowos@poczta.onet.pl
Polis
Lech
L
Kaniewska
Danuta
D
Mikołajczyk
Wanda
W
Krawczyk
Jacek
J
Szymański
Wojciech
W
Zakrzewski
Krzysztof
K
Podciechowska
Joanna
J
D000293:Adolescent; D002557:Cerebrospinal Fluid Shunts / Q000379:methods; D002648:Child; D002675:Child, Preschool; D004724:Endoscopy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D023261:Glasgow Outcome Scale / Q000706:statistics & numerical data; D006801:Humans; D006849:Hydrocephalus / Q000145:classification / Q000601:surgery*; D007223:Infant; D007231:Infant, Newborn; D000068556:Interferon beta-1a; D016899:Interferon-beta; D008297:Male; D011183:Postoperative Complications; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed / Q000295:instrumentation / Q000379:methods; D016896:Treatment Outcome
D016899:Interferon-beta; D000068556:Interferon beta-1a