{"title":"Dermatological adverse effects of ventriculoperitoneal shunt: A Systematic Review.","authors":"Nafiseh Sami, Matin Baghani, Maryam Shayan, Moein Baghani","doi":"10.1016/j.wneu.2025.123828","DOIUrl":null,"url":null,"abstract":"<p><strong>Importance: </strong>Ventriculoperitoneal shunt implantation provides immediate improvement in hydrocephalus management; however, it is associated with various complications, including infection and shunt malfunction.</p><p><strong>Objective: </strong>We systematically reviewed studies on patients of all ages who received ventriculoperitoneal shunts for managing hydrocephalus. The prevalence, severity, risk factors, and management of adverse dermatological effects were assessed.</p><p><strong>Evidence review: </strong>To find relevant studies, PubMed, Scopus, Google Scholar, and Web of Science were searched from their inception to April 2023. Medical subject headings, including \"ventriculoperitoneal shunt\" and \"skin diseases\" were searched as keywords. All studies that investigated the adverse effects of ventriculoperitoneal shunts on the skin were included. The strength of the included studies was assessed according to the modified version of the Oxford Centre for Evidence-Based Medicine.</p><p><strong>Findings: </strong>29 articles, including 35 cases, were reviewed. Complications such as infection, allergies, skin breakdown, metastases due to underlying cancer, and breast-related problems occurred within days to 36 years after shunt insertion or the last revision. These common complications can be aggravated by underlying conditions, including previous surgeries, cancer, malnutrition, and breast implants.</p><p><strong>Conclusions and relevance: </strong>Dermatological complications of ventriculoperitoneal shunts are important to consider because they can significantly impact patient care. Promoting interdisciplinary collaboration among healthcare professionals is essential to facilitate the early identification and management of potential complications.</p>","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":" ","pages":"123828"},"PeriodicalIF":1.9000,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"World neurosurgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.wneu.2025.123828","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Importance: Ventriculoperitoneal shunt implantation provides immediate improvement in hydrocephalus management; however, it is associated with various complications, including infection and shunt malfunction.
Objective: We systematically reviewed studies on patients of all ages who received ventriculoperitoneal shunts for managing hydrocephalus. The prevalence, severity, risk factors, and management of adverse dermatological effects were assessed.
Evidence review: To find relevant studies, PubMed, Scopus, Google Scholar, and Web of Science were searched from their inception to April 2023. Medical subject headings, including "ventriculoperitoneal shunt" and "skin diseases" were searched as keywords. All studies that investigated the adverse effects of ventriculoperitoneal shunts on the skin were included. The strength of the included studies was assessed according to the modified version of the Oxford Centre for Evidence-Based Medicine.
Findings: 29 articles, including 35 cases, were reviewed. Complications such as infection, allergies, skin breakdown, metastases due to underlying cancer, and breast-related problems occurred within days to 36 years after shunt insertion or the last revision. These common complications can be aggravated by underlying conditions, including previous surgeries, cancer, malnutrition, and breast implants.
Conclusions and relevance: Dermatological complications of ventriculoperitoneal shunts are important to consider because they can significantly impact patient care. Promoting interdisciplinary collaboration among healthcare professionals is essential to facilitate the early identification and management of potential complications.
期刊介绍：
World Neurosurgery has an open access mirror journal World Neurosurgery: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review.
The journal''s mission is to:
-To provide a first-class international forum and a 2-way conduit for dialogue that is relevant to neurosurgeons and providers who care for neurosurgery patients. The categories of the exchanged information include clinical and basic science, as well as global information that provide social, political, educational, economic, cultural or societal insights and knowledge that are of significance and relevance to worldwide neurosurgery patient care.
-To act as a primary intellectual catalyst for the stimulation of creativity, the creation of new knowledge, and the enhancement of quality neurosurgical care worldwide.
-To provide a forum for communication that enriches the lives of all neurosurgeons and their colleagues; and, in so doing, enriches the lives of their patients.
Topics to be addressed in World Neurosurgery include: EDUCATION, ECONOMICS, RESEARCH, POLITICS, HISTORY, CULTURE, CLINICAL SCIENCE, LABORATORY SCIENCE, TECHNOLOGY, OPERATIVE TECHNIQUES, CLINICAL IMAGES, VIDEOS
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