Endoscopic Third Ventriculostomy vs Ventriculoperitonel Shunts: a Meta analysis of Treatment of Obstructive Hydrocephalus from aqueductal Stenosis

School Name

Heathwood Hall

Grade Level

12th Grade

Presentation Topic

Physiology and Health

Presentation Type

Non-Mentored

Abstract

The purpose of this research is to determine if Endoscopic Third Ventriculostomy treatment for obstructive hydrocephalus from aqueductal stenosis (AS) has a lower mortality rate than that of The more mainstay treatment of Ventriculoperitoneal shunts. The hypothesis is that ETV has a lower mortality rate than VP shunts when treating children with obstructive hydrocephalus from AS. The procedure for my analysis was to use other studies conducted on treatment of Obstructive hydrocephalus from AS. with both ETV and VP shunts. The data found within this research comes from Over 12 different sources and over 500 patients from each procedure. Once the data had been collected it was compiled into one succinct chart revealing both the mortality rate solely based on death and the mortality rate based on all factors affecting outcome of the surgery. The results showed that when purely looking at numbers VP shunts are the better option which supports the null hypothesis that VP shunts have a lower mortality rate than ETV. In conclusion however, neither VP shunts nor ETV should treat this form of hydrocephalus alone. The child should first have a VP shunt procedure until an MRI scan shows there is enough room to guarantee a successful ETV. More data is needed to prove that this new proposition is worth considering.

Start Date

3-25-2017 11:59 PM

Presentation Format

Written Only

Group Project

No

COinS
 
Mar 25th, 11:59 PM

Endoscopic Third Ventriculostomy vs Ventriculoperitonel Shunts: a Meta analysis of Treatment of Obstructive Hydrocephalus from aqueductal Stenosis

The purpose of this research is to determine if Endoscopic Third Ventriculostomy treatment for obstructive hydrocephalus from aqueductal stenosis (AS) has a lower mortality rate than that of The more mainstay treatment of Ventriculoperitoneal shunts. The hypothesis is that ETV has a lower mortality rate than VP shunts when treating children with obstructive hydrocephalus from AS. The procedure for my analysis was to use other studies conducted on treatment of Obstructive hydrocephalus from AS. with both ETV and VP shunts. The data found within this research comes from Over 12 different sources and over 500 patients from each procedure. Once the data had been collected it was compiled into one succinct chart revealing both the mortality rate solely based on death and the mortality rate based on all factors affecting outcome of the surgery. The results showed that when purely looking at numbers VP shunts are the better option which supports the null hypothesis that VP shunts have a lower mortality rate than ETV. In conclusion however, neither VP shunts nor ETV should treat this form of hydrocephalus alone. The child should first have a VP shunt procedure until an MRI scan shows there is enough room to guarantee a successful ETV. More data is needed to prove that this new proposition is worth considering.