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Issue: Vol. 563 No. 2 (2026)
Section: Các bài báo
DOI: 10.51298/vmj.v563i2.18999
Date Published: 05/10/2026
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Phùng, Q. T., Trần, V. T., & Lê, M. P. (2026). OUTCOMES OF VENTRICULOPERITONEAL SHUNT SURGERY USING ADJUSTABLE PRESSURE VALVES IN HYDROCEPHALUS PATIENTS AT THE REHABILITATION HOSPITAL FOR OCCUPATIONAL DISEASES, HO CHI MINH CITY. Vietnam Medical Journal, 563(2). https://doi.org/10.51298/vmj.v563i2.18999

OUTCOMES OF VENTRICULOPERITONEAL SHUNT SURGERY USING ADJUSTABLE PRESSURE VALVES IN HYDROCEPHALUS PATIENTS AT THE REHABILITATION HOSPITAL FOR OCCUPATIONAL DISEASES, HO CHI MINH CITY

Quốc Thái Phùng1,2, , Văn Thái Trần1, Minh Phong Lê3
1 Bệnh viện Phục hồi chức năng – Điều trị bệnh nghề nghiệp TP. Hồ Chí Minh
2 Trường Đại học Y khoa Phạm Ngọc Thạch
3 Bệnh viện Quân y 175

Main Article Content

Abstract

Objective: To evaluate outcomes of ventriculoperitoneal (VP) shunt surgery using externally adjustable pressure valves in hydrocephalus patients.


Subjects and methods: A retrospective descriptive case series with postoperative follow-up, conducted on 30 hydrocephalus patients who underwent VP shunt surgery with adjustable pressure valves, with a minimum follow-up of 6 months.


Results: Mean age was 41.9 ± 14.25 years; males accounted for 73.3%; traumatic brain injury was the most common etiology (66.7%). Preoperatively, 90.0% of patients were lethargic (GCS 9-13). The Polaris SPV (Sophysa) valve was used in 66.7% and Strata II (Medtronic) in 33.3% of cases. At 6 months, 80.0% required at least one valve adjustment. Neurological improvement increased from 40.0% at discharge to 83.3% at 6 months. Good GOS outcomes were achieved in 20.0% at 6 months. Overall complication rate was 33.3%, with shunt obstruction (16.7%) and infection (10.0%) being most frequent.


Conclusion: VP shunt with adjustable pressure valves enables non-surgical optimization of drainage, with progressive neurological improvement reaching 83.3% at 6 months. Shunt obstruction and infection remain the main complications requiring close monitoring.

Keywords

hydrocephalus, VP shunt, adjustable pressure valve, treatment outcomes, complications

Article Details

References

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