TEMPORARY VS. DEFINITIVE SURGICAL INTERVENTIONS IN THE MANAGEMENT OF PERIINTRAVENTRICULAR HEMORRHAGE: A SYSTEMATIC REVIEW ON EFFICACY AND RISKS

• DOI: https://doi.org/10.22533/at.ed.1595242511064

• Palavras-chave: Peri-Intraventricular Hemorrhage,neurocirurgy pediatric,

• Keywords: Hemorragia Peri-Intraventricular, neurocirúrgica pediátrica

• Abstract: Preterm infants, defined as those born before the 37th week of gestation, are at an increased risk for various health complications, including intraventricular hemorrhage (IVH) and its associated condition, post-hemorrhagic hydrocephalus (HPIV). HPIV often leads to ventricular dilation, requiring surgical intervention. This systematic review aims to compare and evaluate the effectiveness and risks of different surgical treatments for HPIV, including ventriculoperitoneal shunting (VPS), drainage, irrigation, and fibrinolysis therapy (DRIFT), ventriculosubgaleal shunting, and neuroendoscopic lavage (NEL). A thorough search of PubMed, BVS, and SciELO databases identified 53 relevant articles, from which 7 key studies were included for analysis. The review underscores the importance of early intervention and careful selection of surgical techniques to improve patient outcomes. Minimally invasive procedures, such as NEL and Subgaleal Ventricular Derivation, show lower complication rates, reduced healthcare costs, and better long-term neurological recovery. Additionally, integrating laboratory biomarkers with imaging can provide a more comprehensive understanding of disease progression and guide treatment decisions. Overall, the study highlights the need for standardized protocols and continued research to optimize the management of HPIV in preterm infants.