Abstract
Objectives. To examine the incidence of postoperative ventriculoperitoneal shunt infections
in patients after augmentation cystoplasty.
Methods. We retrospectively reviewed the charts of 21 patients with a ventriculoperitoneal
shunt who had bladder augmentation (18 ileal and 3 ileocecal) with attention to the
preoperative urine culture, perioperative antibiotics, and the length of time drains
were maintained. The abdominal end of all shunts was wrapped in an antibiotic-soaked
sponge during the procedure. All patients had at least 1 year of follow-up.
Results. Seven patients (33%) had culture proven, preoperative urinary tract infections.
All patients received at least 24 hours of preoperative and 48 hours of postoperative
antibiotics. No postoperative shunt infections occurred during the study period.
Conclusions. The incidence of postoperative ventriculoperitoneal shunt infections
after augmentation cystoplasty can be kept low when prophylactic antibiotics and short-term
drains are used.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to UrologyAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Augmentation cystoplasty complicated by postoperative ventriculoperitoneal shunt infection.J Urol. 1990; 144: 955-956
- Ventriculoperitoneal shunt infection after augmentation cystoplasty.J Urol. 1996; 155: 686-688
- The risk of abdominal operations in children with ventriculoperitoneal shunts.J Pediatr Surg. 1992; 27: 1051-1053
Article info
Publication history
Accepted:
February 22,
1999
Received in revised form:
February 22,
1999
Received:
August 14,
1998
Identification
Copyright
© 1999 Elsevier Science Inc. Published by Elsevier Inc. All rights reserved.
