الفهرس 
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Abstract
Ventriculoperitoneal (VP) shunting offers immediate relief for patients with hydrocephalus due to its straightforward surgical approach. However, it comes with an increased risk of long-term complications that may necessitate urgent revisions. These complications can include shunt malfunctions, infections, or blockages. Consequently, while VP shunting provides rapid symptomatic relief, it often requires ongoing monitoring and maintenance to ensure its continued effectiveness.
In contrast, Endoscopic Third Ventriculostomy with Choroid Plexus Coagulation (ETV/CPC) is a more complex procedure. It involves creating a new pathway for cerebrospinal fluid (CSF) drainage within the brain, thereby reducing the need for shunting. Although ETV/CPC is a more complex surgical intervention, it offers several advantages in the long-term management of pediatric hydrocephalus.
One of the key advantages of ETV/CPC is its potential to minimize the chances of shunt failure and related complications. By bypassing the need for a shunt device altogether, it eliminates the risks associated with shunt malfunctions, infections, or blockages. This reduction in long-term complications translates into a lower likelihood of urgent revisions and reoperations, which can be particularly advantageous for pediatric patients who may require multiple surgeries throughout their lifetime.