Management of Pediatrics Hydrocephalus: A Systematic review and metanalysis; on Endoscopic third Ventriculostomy (ETV), vs. ventriculoperitoneal shunt (VPS), Treatments and Postoperative Outcomes

Introduction: Inadequate passage of cerebrospinal fluid (CSF) through the points of production, such as the choroid plexus, absorption, and drainage into the dural venous sinus, causes hydrocephalus, which is characterized by a failure in CSF homeostasis and progressive active distension of the cerebral ventricles and the cerebral ventricular system. Methods: Using the PRISMA standards, R software, and Excel, we searched a number of databases, including ScienceDirect and PubMed/MEDLINE. Pediatric hydrocephalus, particular surgical methods, survival and fatality rates, as well as its physiology, pathology, and development, were among the search phrases used. Only research that was released in English between March 2000 and September 2025 Results: We distributed the N=3,119 pediatric hydrocephalus patients that we identified in our systematic evaluation in Table 1. N = 1728 patients (55%) and N = 948 (30%) underwent endoscopic procedures. VP-shunt N = 765 (24%). In contrast, Table 2 shows N=1391 patients (44%). ETV/VP shunt; N = 474 (15%). ETV/CPC; N = 766 (24%). In conclusion: Conclusion: Endoscopic third ventriculostomy (ETV) and choroid plexus cauterization (CPC) are combined operations used to treat hydrocephalus in children. These treatments range from straightforward Kocher point stenting to intricate shunt systems. The normal head circumference can be controlled to some extent by using a single decision to regulate the flow of cerebrospinal fluid (CSF).