[One-stage operation of ventriculo-peritoneal shunt and cranioplasty: analysis of 54 cases].
OBJECTIVE
To study the application of one-stage operation of ventriculo-peritoneal shunt and cranioplasty for hydrocephalus complicated by skull defect.


METHODS
The clinical records of 54 patients with hydrocephalus complicated by skull defect treated with one-stage operation of ventriculo-peritoneal shunt and cranioplasty were reviewed in comparison with those of 30 patients receiving two-stage operations.


RESULTS
The clinical outcome of the patients receiving the two surgical procedures did not differ significantly, but two patients undergoing one-stage operation required replacement of the shunt pump due to elevation of intracranial pressure. Implementation of one-stage operations shortened the length of hospital stay and reduced the expense of patients.


CONCLUSIONS
Hydrocephalus in combination with skull defect can be treated generally with one-stage operations and care must be taken in choosing adequate shunt tube according to the intracranial pressure measured preoperatively.
Zhou
Qing
Q
Department of Neurosurgery, 309 Hospital of PLA, Beijing 100091, China. davidzhou2360@hotmail.com
Zhang
Shi-Zhong
SZ
Xu
Ru-Xiang
RX
Wang
Jian-Qi
JQ
Tu
Yan-Yang
YY
D000293:Adolescent; D000328:Adult; D000368:Aged; D006259:Craniocerebral Trauma / Q000150:complications / Q000601:surgery*; D005260:Female; D006801:Humans; D006849:Hydrocephalus / Q000209:etiology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D019736:Prostheses and Implants; D012886:Skull / Q000293:injuries / Q000601:surgery*; D017287:Ventriculoperitoneal Shunt