Ventajas de la plastia de mielomeningocele y derivación ventrículo-peritoneal en único tiempo quirúrgico: Experiencia en 47 casos

Abstract

Background: Myelomeningocele is a congenital neural tube defect compatible with life, an early treatment improves functional outcome and quality of life of patients. Hydrocephalus is the main complication, requiring insertion of a ventriculoperitoneal shunt. Objective: To compare these procedures in the same operative setting (group A) versus classic repair in a fi rst time and ventriculoperitoneal shunt deferred to a second time (group B). Material and methods: Of 47 patients with myelomeningocele, 15 received simultaneous surgery. Results: Demographic data like: age, gender, body weight, lesion location and hydrocephalus degrees showed no statistically signifi cant differences. Anesthetics time (p = 0.00001), surgical time (p = 0.001) as well blood loss(p = 0.003) and hospital stay (p = 0.01); were lower in the group A, ventriculitis was the most frequent complication in both groups. No deaths occurred within 30 days in either group. Conclusions: In this series the early simultaneous performance of myelomeningocele repair and ventricularperitoneal shunt shows benefi ts in all aspects.