RSS-Feed abonnieren
PDF herunterladen
DOI: 10.1055/s-0041-1722826
An Indigenous Method of Securing Ventriculoperitoneal Shunt Tube in Peritoneal Cavity
Abstract
Introduction Ventriculoperitoneal shunt (VPS) is the most common procedure used for cerebrospinal fluid (CSF) diversion in hydrocephalus. Over the years, many technical, procedural, and instrument-related advancements have taken place which have reduced the associated complication rates. Shunt block is a very common complication irrespective of the shunt system used. The abdominal end of the shunt tube gets blocked usually due to plugging of omentum onto the shunt catheter. We describe a technique of catheter fixation and placement under vision coupled with omentopexy done laparoscopically to prevent this complication.
Materials and Methods This technique was used in 23 patients (11 female, 12 male; range 16–73 years) afflicted with hydrocephalus from June 2016 and December 2019 after obtaining an informed consent, and the outcomes were noted in terms of shunt patency, complications, if any, and the need for revision.
Results The median operation time was 90 minutes (range 35–160 minutes). All shunt catheters were still functional after a mean follow-up of 16.5 months (range 1–34 months) and none required revision.
Conclusion Laparoscopic placement of shunt tube along with omental folding is a safe and effective technique for salvaging the abdominal end of VPS and may be helpful in reducing shunt blockage.
Publikationsverlauf
Artikel online veröffentlicht:
13. Mai 2021
© 2021. Neurological Surgeons’ Society of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India
-
References
- 1 Acharya R, Ramachandran CS, Singh S. Laparoscopic management of abdominal complications in ventriculoperitoneal shunt surgery. J Laparoendosc Adv Surg Tech A 2001; 11 (03) 167-170
- 2 Alabi A, Dholakia S, Ablorsu E. The role of laparoscopic surgery in the management of a malfunctioning peritoneal catheter. Ann R Coll Surg Engl 2014; 96 (08) 593-596
- 3 Kavic SM, Segan RD, Taylor MD, Roth JS. Laparoscopic management of ventriculoperitoneal and lumboperitoneal shunt complications. JSLS 2007; 11 (01) 14-19
- 4 Ogunc G. Minilaparoscopic extraperitoneal tunneling with omentopexy: a new technique for CAPD catheter placement. Perit Dial Int 2005; 25 (06) 551-555
- 5 Cao W, Tu C, Jia T. et al. Prophylactic laparoscopic omentopexy: a new technique for peritoneal dialysis catheter placement. Ren Fail 2019; 41 (01) 113-117
- 6 Popa F, Grigorean VT, Onose G, Popescu M, Strambu V, Sandu AM. Laparoscopic treatment of abdominal complications following ventriculoperitoneal shunt. J Med Life 2009; 2 (04) 426-436
- 7 Park YS, Park IS, Park KB, Lee CH, Hwang SH, Han JW. Laparotomy versus laparoscopic placement of distal catheter in ventriculoperitoneal shunt procedure. J Korean Neurosurg Soc 2010; 48 (04) 325-329
- 8 Turner RD, Rosenblatt SM, Chand B, Luciano MG. Laparoscopic peritoneal catheter placement: results of a new method in 111 patients. Neurosurgery 2007; 61 (03) Suppl 167-172
- 9 Nigim F, Thomas AJ, Papavassiliou E. et al. Ventriculoperitoneal shunting: Laparoscopically assisted versus conventional open surgical approaches. Asian J Neurosurg 2014; 9 (02) 72-81