Endoscopic treatment of hydrocephalus with minimal resources: Resource utilization and indigenous innovation in developing countries like India

• DOI: 10.4103/ajns.ajns_211_16
• Publication Date: 2022-01-04T09:34:29Z
• Authors: Deepak Jha; Mukul Jain; Ishita Pant; Rima Kumari; Renu Goyal; Arvind Arya; Suman Kushwaha
• Keywords: Endoscopic third ventriculostomy; Neurocysticercosis

Neuroendoscopic surgeries need specialized equipments, unavailable in neurosurgical departments of majority public healthcare institutions India. Aims: treatment hydrocephalus the setting minimal resources using utilization available resources, inter-departmental co-ordination and indigenous innovations.Study was carried out at a sector institute India with scarce resources. Senior author (DKJ) used indigenously designed stainless steel working sheath along equipments 'awake endoscopic intubation system' department neuroanesthesia 18 cm, 4 mm, 0° rigid telescope for neuroendoscopic various intraventricular pathologies.Thirty-four 32 patients were done over last 3 years. There males 14 females average age 23 It included due to tubercular meningitis (n = 19), neurocysticercosis (NCC) 4), intra-ventricular 2) para-ventricular space occupying lesions, aqueduct stenosis or without 1) shunt malfunction one case each pyogenic right cerebellar infarction. Endoscopic third ventriculostomy (ETV) 28), septostomy 6), removals cystic lesions 3) biopsies total 34 surgeries. Overall there four failures ETVs, which managed by ventriculo-peritoneal shunts. Two mortalities study group unrelated surgical procedures.Indigenous innovations interdisciplinary are way ahead tackle resource scarcity scenario plenty trainings opportunities young neurosurgeons paucity required.