American Journal of Surgery and Surgical Research | Volume 1, Issue 1 | Review Article | Open Access
Qasim Zia,*
Syeda Ayesha Bukhari1, Mubeen Shahid1, Ayesha Abbas2, Muhammad Usama Khalid3, Muhammad Zaki Ud Din4, Hajra Azmat5, Muhammad Sheraz6, Qasim Zia7*, Muhammad Salman Khan7
1Multan Medical & Dental College, Multan
2Bahawal Victoria Hospital, Bahawalpur
3,4,7Multan Medical & Dental College, Multan
5Islam Medical and Dental College, Gujranwala
6Nishtar Medical University, Multan
*Correspondence to: Qasim Zia,
Fulltext PDFHydrocephalus represents a chronic neurological condition requiring effective and durable cerebrospinal fluid (CSF) diversion. Ventriculoperitoneal shunting (VPS) has traditionally been regarded as the gold standard; however, endoscopic third ventriculostomy (ETV) has emerged as a physiologically restorative alternative, particularly in obstructive hydrocephalus. This manuscript provides a comprehensive evaluation of long-term functional outcomes, complication profiles, and temporal failure patterns associated with both modalities. Evidence indicates that VPS offers superior early clinical success but is associated with cumulative failure and lifelong device dependency. Conversely, ETV demonstrates higher early failure rates but confers improved long-term durability, reduced infection risk, and enhanced quality of life in appropriately selected patients. The evolving paradigm emphasizes individualized, etiology-driven treatment strategies supported by predictive tools such as the ETV Success Score (ETVSS).
Syeda Ayesha Bukhari, Mubeen Shahid, Ayesha Abbas, Muhammad Usama Khalid, Muhammad Zaki Ud Din, Hajra Azmat, Muhammad Sheraz, Qasim Zia, Muhammad Salman Khan. Endoscopic Third Ventriculostomy versus Ventriculoperitoneal Shunt in Hydrocephalus: Long-term Functional Outcomes, Failure Dynamics and Determinants of Success. Amer Jour Surg & Surg Res. 2026;1(1):1-5.