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The neurosurgery department of our hospital carries out day operation of hydrocephalus
Author:xaszxyy  Release date:2018-09-03


    Idiopathic hydrocephalus mainly occurs after craniocerebral trauma, cerebral hemorrhage and craniocerebral surgery, with a high incidence. Most patients with idiopathic hydrocephalus are elderly patients. With China gradually entering an aging society and the continuous improvement of domestic economic level, the incidence of idiopathic hydrocephalus has been increasing year by year, and has become one of the important diseases threatening the health of the elderly.

    Zhanyao Wang, chief physician of neurosurgery department of xi 'an central hospital, practiced the concept of "daytime" surgery, and led the team to implement "ventriculoperitoneal shunt" for two patients with "idiopathic hydrocephalus". Immediately after surgery on the same day, CT reexamination confirmed that the location of the shunt tube was normal. The patient could be discharged on the first day after surgery, and the length of stay was 2 days. The patients were returned regularly after discharge, and they were satisfies with the result. 

    "Day" surgery is a concept advocated in recent years. For some operations with low risk and short duration, surgery treatment will be conducted on the day of hospitalization after the outpatient department completes preoperative preparation, and the operation will be discharged on the first day of surgery. It has been widely carried out in ophthalmology, general surgery, cardiology, etc, but later in neurosurgery. By virtue of excellent surgical skills and skillful anatomical positioning, the current ventricular-peritoneal shunt operation time of neurosurgery in our hospital is basically completed within half an hour, which shortens the time of anesthesia and lays a foundation for the development of day surgery. It has been proved that the concept of "daytime" surgery is fully applicable to patients with hydrocephalus. 

    Idiopathic hydrocephalus is a common disease in the elderly population. The incidence rate of the aged over 65 is about 2%, mainly manifested as dementia, unstable walking and incontinence. However, it needs to be identified with alzheimer's disease, Parkinson's disease, vascular dementia and other diseases. If the elderly in the family have the above symptoms, they need to go to the neurosurgery specialist in time.