The annual incidence of IIH is 1 to 2 per 100,000 population. There is a higher incidence in obese women between the ages of 15 and 44 years (4 to 21 per 100,000). The aim of the present study was to compare our results in placement of the abdominal tube of lumbo-peritoneal shunt using traditional method and laparoscopic assisted method in patient with idiopathic intracranial hypertension after failure of conservative treatment and repeated lumbar punctures. This study includes 20 patients operated with mini laparotomy for insertion of abdominal end of the shunt method and 20 patients operated with laparoscopic assisted method prospectively and retrospectively for treatment of idiopathic intracranial hypertension after failure of conservative treatment and repeated lumbar punctures. Full assessment of the patients pre and post-operative obtained using plain X-rays ,CTScans ,MRI ,Visual Fields & Fundus Examinations. Rate of Satisfaction was higher in Laparoscopic group than open group but with no statistically significant . The mean Post-operative stay was significantly lower in Laparoscopic group than open group as The mean Time of surgery in Laparoscopic group was 1.35 ± 0.47 day and was 3.35 ± 1.52 day in open group (p < .00001). Also rate of Complications was significantly lower in Laparoscopic group than open group . There was a statistically significant difference between both groups according to Need for repeated surgeries . laparoscopic placement of lumbarperitoneal shunts is a safe and efficacious procedure in avoiding need for repeated surgeries ,intraoperative blood loss and hospital stay .It lowers the rate of postoperative complications and the time of surgery. It many advantages over the traditional minilaparotomy approach. |
