SynthesisNeurosurgical review2026
Lumboperitoneal versus ventriculoperitoneal shunt surgery in adult post-hemorrhagic hydrocephalus: A systematic review and meta-analysis.
Synthesis in Neurosurgical review, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Authors and funding
13 authors.
Funding
Abstract
The optimal shunt strategy for adult posthemorrhagic hydrocephalus (PHH) remains uncertain. Although ventriculoperitoneal shunting (VPS) is widely used, it is associated with notable complications related to ventricular catheterization. Lumboperitoneal shunting (LPS) offers a less invasive alternative by avoiding ventricular access. This study aimed to systematically review and meta-analyze the complication profiles of LPS and VPS in adult PHH. PubMed, Embase, and Web of Science databases were systematically searched for original studies that reported postoperative complications in adults with PHH treated with LPS or VPS. Primary outcome was shunt-related complications; secondary outcomes included shunt-failure, obstruction, infection, and shunt complication in severe stage PHH. Two authors independently performed data extraction and quality assessment using the Joanna Briggs Institute Critical Appraisal Checklist. Pooled proportions were estimated using single-arm random-effects meta-analyses with restricted maximum likelihood and Freeman-Tukey double arcsine transformation, with back-transformation applied for reporting. The study protocol was registered in PROSPERO (CRD420251143570). Of 3,183 records screened, 10 studies comprising 1,410 patients met inclusion criteria. Overall evidence quality ranged from moderate to high. The pooled shunt complication proportion was 0.37 (95% CI, 0.30-0.45) for LPS and 0.24 (95% CI, 0.13-0.37) for VPS, with substantial heterogeneity observed among VPS cohorts (LPS: I
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Registered trials
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