ArticleJournal of medicine and life
Laparoscopic treatment of abdominal complications following ventriculoperitoneal shunt.
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Who cites it
16 citing papers in PubMed, 58 citations in OpenAlex.
- Multiple Abdominal abscesses following ventriculoperitoneal shunt placement in an immunosuppressed patient: An illustrative case.Surgical neurology international · 2024Article
- Abdominal complications in patients with a ventriculoperitoneal shunt: proposal for management recommendations from a single pediatric tertiary center.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2021Article
- Ventriculoatrial shunt as a feasible regimen for certain patients of hydrocephalus: clinical features and surgical management.Acta neurologica Belgica · 2021Article
- Enterocutaneous fistula secondary to retained intraperitoneal fragment of a ventriculoperitoneal shunt in a 48-year-old man with spina bifida.BMJ case reports · 2021Article
- Extrahepatic pseudocyst in an adult.Neurosciences (Riyadh, Saudi Arabia) · 2021Article
- Ventriculoperitoneal shunt-associated abdominal cerebrospinal fluid pseudocysts and the role of laparoscopy and a proposed management algorithm in its treatment. A report of 2 cases.Neurosciences (Riyadh, Saudi Arabia) · 2020Article
- Laparoscopic management of abdominal pseudocyst following ventriculoperitoneal shunt implantation in hydrocephalus.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2018Article
- Shunt infection in a single institute: a retrospective study.Chinese neurosurgical journal · 2018Article
- Ultrasound guided placement of the distal catheter in paediatric ventriculoatrial shunts-an appraisal of efficacy and complications.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2016Article
- Incisional Hernia Following Ventriculoperitoneal Shunt Positioning.Journal of radiology case reports · 2016Article
- Abdominal cerebrospinal fluid pseudocyst: a comparative analysis between children and adults.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2014Review
- An Intra-Abdominal Pseudocyst around a Ventriculoperitoneal Shunt due to Streptococcus Infection 7 Years after Shunt Surgery.Surgery research and practice · 2014Article
- Abdominal cerebrospinal fluid pseudocyst occurring 21 years after ventriculoperitoneal shunt placement: a case report.BMC surgery · 2013Article
- Urethral protrusion of the abdominal catheter of ventriculoperitoneal shunt: Case report of extremely rare complication.Journal of pediatric neurosciences · 2012Article
- Transient binocular visual loss: a rare presentation of ventriculoperitoneal shunt malfunction.BMJ case reports · 2011Article
- Central dilemma in CSF pseudocyst - A case series and review of literature.Journal of neurosciences in rural practiceArticle
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
unlabelledThe aim of this study is the evaluation of laparoscopic treatment in abdominal complications following ventriculoperitoneal (VP) shunt.
methodsWe report a retrospective study including 17 patients with abdominal complications secondary to VP shunt for hydrocephalus, laparoscopically treated in our department, between 2000 and 2007.
resultsPatients' age ranged from 1 to 72 years old (mean age 25.8 years old). Male: female ratio was 1.4. Abdominal complications encountered were: shunt disconnection with intraperitoneal distal catheter migration 47.05% (8/17), infections 23.52% (4/17) such as abscesses and peritonitis, pseudocysts 11.76% (2/17), CSF ascites 5.88% (1/17), inguinal hernia 5.88% (1/17), and shunt malfunction due to excessive length of intraperitoneal tube 5.88% (1/17). Free-disease interval varies from 1 day to 21 years, depending on the type of complication, short in peritoneal irritation syndrome and abscesses (days) and long in ascites, pseudocysts (months-years). Laparoscopic treatment was: extraction of the foreign body in shunt disconnection with intraperitoneal distal catheter migration, evacuation, debridement, lavage and drainage for pseudocysts, abscess and peritonitis, shortening of the tube in shunt malfunction due to excessive length of intraperitoneal tube and hemioraphy. One diagnostic laparoscopy was performed in a peritoneal irritation syndrome, which found only CSF ascites. There were no conversions to open surgery. The overall mortality was of 5.88% and postoperative morbidity was of 11.76%. In 7 patients operated for abscesses, peritonitis, pseudocysts, and CSF ascites the shunting system was converted in to a ventriculocardiac shunt.
conclusionsAbdominal complication following VP shunt can be successfully performed laparoscopically. Abdominal surgery required, in selected cases, the repositioning of the distal catheter, frequently as a ventriculocardiac shunt. There are abdominal complications with no indication of surgery, like peritoneal irritation syndrome and CSF ascites. Free-disease interval varies from days (peritoneal irritation syndrome, abscesses) to month-years (pseudocyst, ascites), according to type of complication.
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20108757PMC3019022W1463348544What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.