ArticleJournal of Indian Association of Pediatric Surgeons
Laparoscopic-assisted versus Open Placement of Ventriculoperitoneal Shunts in the Pediatric Population with Congenital Hydrocephalus: A Randomized Controlled Trial.
Article in Journal of Indian Association of Pediatric Surgeons. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
6 authors.
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Abstract
Background: Ventriculoperitoneal (VP) shunt is the standard surgical treatment for hydrocephalus. Conventional open insertion of the distal catheter is widely practiced; however, laparoscopic-assisted right VP shunt (LARVS) provides direct visualization of peritoneal entry, potentially reducing complications and improving accuracy. Aim: The aim of this study was to compare LARVS with conventional open right VP shunt (RVS) in terms of operative parameters, postoperative outcomes, and complication rates. Materials and Methods: A randomized controlled trial was conducted on 76 patients undergoing primary RVS between July 2020 and August 2024. The patients were divided into two groups: Group A - LARVS ( Results: The two groups were comparable in terms of baseline characteristics (age, Conclusion: LARVS is a safe and effective alternative to open RVS. Both approaches yield comparable operative times and outcomes, with LARVS offering the added advantage of direct peritoneal visualization, although its impact on morbidity was not statistically different in this cohort.
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