Coronary Suture Size Difference Analysis Between Conventional Methods and Morphometric Methods During Ventriculo Peritoneal Shunt Operation
Keywords:
Coronary, Conventional Methods, Morphometric Methods, Ventriculo Peritoneal Shunt OperationAbstract
Placement of a ventricular catheter in a VP shunt or EVD is a very important life saving measure, done correctly, safely and quickly. This action needs attention because the components of the ventricular catheter are considered as the most common cause of mechanical failure in cases of shunt malfunction. The characteristics of the research variables will be presented in the form of concentration values and data variations, while the bivariate data will be analyzed using the t test to analyze the difference in the average coronary suture distance determined using the conventional method and the morphometric method. Significance was determined based on the p-value which was ≤ 0.05 and a confidence interval (CI) of 95%. An observational study was carried out in the operating room of Semen Padang Hospital in hydrocephalus patients who had a VP shunt installed, a sample of 40 patients was collected, then analyzed computerized to present the characteristics of the research subjects. The mean age of patients who underwent VP shunt installation was 46.13 + 125 years. The mean size of the patient's head circumference was 55.60 + 1.297 cm, while the average size of the patient's nasion-POE anatomy was 33.38 + 1.030 cm. The mean thickness of the patient's scalp was 7.73 + 0.679 mm. The average size of the coronary suture anatomy from the patient's orbital rim is 11.81 + 0.443 cm, with a difference in the measurement accuracy of conventional suture identification which is 8.13 +4,43 mm. Meanwhile, the mean difference in size accuracy of morphometric identification of sutures was 6.63 + 6.18 mm. The variable size of the patient's head circumference was normally distributed (p = 0.077), the anatomical size variable of the nasion-POE was normally distributed (p = 0.061), the variable size for scalp thickness was also normally distributed (p = 0.102), the variable size of the coronary suture of the orbital rim was distributed was normal (p = 0.072), the variable difference in the accuracy of the conventional method of identification was normally distributed (p = 0.114) and the difference in the measure of the accuracy of the identification of the morphometric method was also normally distributed (p = 0.084). The difference in mean coronary suture identification size between the conventional method and the morphometric method was 1.475 + 0.107 cm, meaning that there was a significant difference in the mean coronary suture identification size between the conventional method and the morphometric method with a p value <0.001. The mean difference in the difference in the size of the coronary suture identification between the conventional method and the morphometric method was 1.500 + 1.202 mm, meaning that there was a significant difference in the mean difference in the size of the coronary suture identification between the conventional method and the morphometric method with a p value <0.05. The morphometric method in identifying coronary sutures has a greater percentage of accuracy and is closer to the actual size of the coronary sutures.
References
Blount JP. Ventricular shunting procedures. Dalam: Winn HR, Berger MS, Dacey RG, editor. Youmans neurological surgery. Philadelphia: Elsevier Saunders; 2011. hlm. 2009-2020.
Drake JM, Iantosca MR. Cerebral fluid shunting and management of pediatric hydrocephalus. Dalam: Schmidek HH, Roberts DW. Schmidek & Sweet Operative neurosurgical technique; indication, methods and results. 5th ed. Philadelphia: Elsevier Saunders; 2006. hlm. 487-508.
Recinos VR. Ventriculoperitoneal shunt-primary. Dalam: Connolly ES, et al. Fundamentals of operative technique in neurosurgery. 2nd ed. New York: Thieme; 2010. hlm. 348-352.
Frim DM, Penn R, Lacy M. Surgical management of adult hydrocephalus. Dalam: Schmidek HH, Roberts DW. Schmidek & Sweet Operative neurosurgical technique; indication, methods and results. 5th ed. Philadelphia: Elsevier Saunders; 2006. hlm. 509-516.
Lind CRP, Tsai AMC, Law AJJ, Lau H, Muthiah K. Ventricular catheter trajectories from traditional shunt approaches: a morphometric study in adults with hydrocephalus. J Neurosurg. 2008;108:930-933.
Huyette DR, Turnbow BJ, Kaufman C, Vaslow DF, Whiting BB, Oh MY. Accuracy of the free hand pass technique for ventriculostomy catheter placement: retrospective assessment using computed tomography scans. J Neurosurg. 2008;108:88-91.
Ji-Hoon L, Cheol-Wan P, Lee U, et al. Accuracy of the free hand placement of an external ventricular darin (EVD). Kor J Cerebrovascular Surgery. 2010;12(2):82-86.
Bergsneider M, Stiner E. Management of adult hydrocephalus. Dalam: Winn HR, Berger MS, Dacey RG, editor. Youmans neurological surgery. Philadelphia: Elsevier Saunders; 2011. hlm. 515-524.
Greenberg MS. Handbook of neurosurgery. 7th ed. New York: Thieme; 2010. hlm. 88, 207-213.
Young-Gil P, Hyun-Jin W, Kim E, Park J. Accuracy and safety of bedside external ventricular drain placement at two different cranial sites: Kocher’s point versus forehead. J Korean Neurosurg Soc. 2011;50:317-321.
Grotenhuis JA. Pathophysiology and treatment of hydrocephalus. Dalam: Kalangu KKN, Kato Y, Dechambenoit G. Essential practice of neurosurgery. Jepang: Access Publishing; 2009. hlm. 1441-1463.
Kakarla UK, Kim LJ, Chang SW, Theodore N, Spetzler RF. Safety and accuracy of bedside external ventricular drain placement. Neurosurgery. 2008;63:ONS162-ONS167.
Bauer DF, Razdan SN, Bartolucci AA, Markert JM. Meta-analysis of hemorrhagic complications from ventriculostomy placement by neurosurgeons. Neurosurgery. 2011;69(2):255-260.
Maniker AH, Vaynman AY, Karimi RJ, Sabit AO, Holland B. Hemorrhagic complications of external ventricular drainage. Neurosurgery. 2006;59(4):ONS419-ONS425.
Lin J, Morris M, Olivero W, Boop F, Sanford RA. Computational and experimental study of proximal flow in ventricular catheters. Technical note. J Neurosurg. 2003;99:426-431.
Jung N, Kim D. Effect of electromagnetic navigated ventriculoperitoneal shunt placement on failure rates. J Korean Neurosurg Soc. 2013;53:150-154.
Sastroasmoro S, Ismael S. Dasar-dasar metodologi penelitian klinis. 2nd Ed. Jakarta: Sagung Seto; 2002.
Dahlan MS. Besar sampel dan cara pengambilan sampel dalam penelitian kedokteran dan kesehatan. Jakarta: Salemba Medika; 2010.
Dahlan MS. Statistik untuk kedokteran dan kesehatan. Jakarta: Salemba Medika; 2011.
Pang D, Grabb PA. Accurate placement of coronal ventricular catheter using stereotactic coordinate-guided free-hand passage. Technical note. J Neurosurg. 1994;80:750-755.
Ghajar JBG. A guide for ventricular catheter placement. Technical note. J Neurosurg. 1985;63:985-986.
O’Leary ST, Kole MK, Hoover DA, Hysell SE, Thomas A, Shaffrey CL. Efficacy of the Ghajar Guide revisited: a prospective study. J Neurosurg. 2000;92:801-803.
Bergsneider M, Miller C, Vespa PM, Hu X. Surgical management of adult hydrocephalus. Neurosurgery. 2008;62(supplement):SHC643-SHC660.
Piatt JH, Burchiel KJ. Techique of ventriculostomy. Dalam: Rengachary SS, Wilkins RH. Neurosurgical operative atlas. Chicago. The American Association of Neurological Surgeons. 1993. hlm. 171-175.
Lang J. Skullbase and related structures. Atlas of clinical anatomy. Germany. Schattauer Stuttgart. 1995. hlm. 1-30.
Tubbs RS, Bosmia AN, Cohen-Gadol AA. The human calvaria: a review of embryology, anatomy, pathology, and molecular development. Child Nerv Syst. 2011;21:1-9.
Tillmanns H. Something about puncture of the brain. Br Med J. 1908;2:983-984.
Friedman WA, Vries JK. Percutaneous tunnel ventriculostomy, summary of 100 procedure. J Neurosurg. 1980;53:662-665.
Trojanowski T. Hydrocephalus in adults (including normal pressure hydrocephalus syndrome). Dalam: Sindou M. Practical handbook of neurosurgery, from leading neurosurgeons. Jerman: Springer-Verlag/Wien; 2009. hlm. 428-439.
