Assesment Outcome of Endoscopic Third Ventriclulostomy of Treatment of Hydrocephalus in Iraq by Section Study

Abstract

Background: Endoscopic third ventriculostomy (ETV) is being proved to be a safe and efficient therapy for many Etiologies of hydrocephalus. There is evidence that younger age is indicative underlying a worse outcome following ETV in children, and some data on the role in hydrocephalus etiology for outcomes after ETV. Aim: This paper aims to assess the outcomes of Endoscopic Third Ventriculostomy to treatment Endoscopic Third Ventriculostomy in Iraq by section study. Methodology of the study: This study was conducted some examinations on the ETV data to determine a cross-sectional study on the treatment of endoscopic third ventriculostomy in Iraq by section study where it focused on endoscopic third ventriculostomy patients with ages older than 18 to 50 years. In the methodology of data designs, our data was distributed with 132 patients, which where it divided into two groups, which are the first group presents 66 cases, and the second group presents 66 cases. Our study was collected data from different hospitals in Iraq between 16th July 2021 to 25th August 2022. This data was designed and analysed by the SPSS program. Discussion: Our paper found that CSF leaks are the most prevalent immediate post-operative complication with ETV and are caused in part by the raised intraventricular pressure, which prevails immediately following surgery. This group included intraoperative bleeding within seven of our patients. Such bleeding is usually straightforward to manage and does not cause any significant consequences. As well as this study was got Ventriculostomy stoma closure through new arachnoid granulation structures with the administration of steroids around the inflamed stoma may be useful in causing ETV failure. Conclusions: In general, endoscopic third ventriculostomy is a very successful approach to treating hydrocephalus in chosen patients. It is associated with a very low risk of persistent morbidity and avoids the morbidity associated with VP shunts. Ventriculostomy stoma closure through new arachnoid granulation structures with the administration of steroids around the inflamed stoma may be useful in causing ETV failure

Keywords

Hydrocephalus; ETV; CSF leak; and Infection