Comparative Study between Traditional Method of Application of Lumbo–Peritoneal Shunt and Laparoscopic Assisted Method in Patients with Idiopathic Intracranial Hypertension

Salem, A.A.; Mansour, M.A.; Hamam, H.M.; El-Tantawy, M.H.; El-Sheikh, A.H.

doi:10.21608/bjas.2020.187173

Comparative Study between Traditional Method of Application of Lumbo–Peritoneal Shunt and Laparoscopic Assisted Method in Patients with Idiopathic Intracranial Hypertension

Document Type : Original Research Papers

Authors

General Surgery Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

10.21608/bjas.2020.187173

Abstract

The annual incidence of IIH is 1 to 2 per 100,000 population. There is a higher occurrence in large ladies between the ages of 15 and 44 years (4 to 21 for each 100,000). The point of the current examination was to look at our outcomes in arrangement of the stomach container of lumbo-peritoneal shunt utilizing customary technique and laparoscopic helped strategy in patient with idiopathic intracranial hypertension after disappointment of moderate treatment and rehashed lumbar penetrates. This examination incorporates 20 patients worked with smaller than usual laparotomy for addition of stomach end of the shunt technique and 20 patients worked with laparoscopic helped strategy tentatively and reflectively for treatment of idiopathic intracranial hypertension after disappointment of traditionalist treatment and rehashed lumbar penetrates. Full evaluation of the patients pre and post-employable got utilizing plain X-beams ,CTScans ,MRI ,Visual Fields and Fundus Examinations. Pace of Satisfaction was higher in Laparoscopic bunch than open gathering however with no factually critical . The mean Post-usable remain was altogether lower in Laparoscopic bunch than open gathering as The interim of medical procedure in Laparoscopic bunch was 1.35 ± 0.47 day and was 3.35 ± 1.52 day in open gathering (p < .00001). Likewise pace of Complications was essentially lower in Laparoscopic bunch than open gathering . There was a measurably critical distinction between the two gatherings as indicated by Need for rehashed medical procedures . laparoscopic situation of lumbarperitoneal shunts is a protected and solid method in keeping away from need for rehashed medical procedures ,intraoperative blood misfortune and clinic remain .It brings down the pace of postoperative inconveniences and the hour of medical procedure. It numerous preferences over the conventional minilaparotomy approach.

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