The extensive range of shunt models available and the constant search for new alternatives is unfortunately a reflection of the shortfalls of all shunt systems to date. A complex combination of factors relating to the patient, the surgeon and the shunt device itself are likely to be responsible for the complications that are well known to all who treat hydrocephalus.
Mechanical failure and infection together account for the vast majority of shunt complications. A list of some of the more commonly recognized shunt complications is shown in Table 24.3, some of which are discussed below.
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The term vaginitis is one that is applied to any inflammation or infection of the vagina, and there are many different conditions that are categorized together under this ‘broad’ heading, including bacterial vaginosis, trichomoniasis and non-infectious vaginitis.