Clinical study on transition to ventriculoperitoneal after neonatal Ommaya reservoir
Na Chen, Li Gao, Ming Liu, Yuping Zhu, Qiu Wan, Qin Zhou, Chen Ni
A
BSTRACT
Background:
Hydrocephalus after neonatal cerebral hemorrhage can cause developmental disorders, and surgery can alleviate the symptoms of hydrocephalus.
Aims/Objective:
This study aims to examine the diagnostic, therapeutic, and ongoing nursing processes for 28 cases of neonatal hydrocephalus in the field of neurosurgery, with the goal of establishing a foundation for developing comprehensive and continuous nursing protocols for the transition from Ommaya reservoir implantation to ventriculoperitoneal (V-P) shunt in the future.
Materials and Methods:
A retrospective analysis was conducted on the clinical data of 28 neonatal hydrocephalus cases in neurosurgery.
Results:
Among the newborns with hydrocephalus, 44.8% underwent a subsequent V-P shunt, while 55.2% had their Ommaya reservoir removed, with approximately half requiring reoperation. Notably, neonates with a higher Evan’s ratio before surgery were more likely to undergo V-P shunt placement (
Conclusion:
To mitigate complications following Ommaya reservoir placement and to adequately prepare for cerebrospinal fluid shunt devices, it is imperative to establish a comprehensive and continuous nursing care framework for these children and their families.