Abdominal Complications of Ventriculoperitoneal Shunt in Pediatric Patients: Experiences of a Pediatric Surgery Clinic

2018 ◽  
Vol 118 ◽  
pp. e129-e136 ◽  
Author(s):  
Beger Burhan ◽  
Kizilyildiz Baran Serdar ◽  
Aycan Abdurrahman ◽  
Akyol Mehmet Edip ◽  
Duz Ebuzer
Keyword(s):  
Ventriculoperitoneal Shunt ◽  
Pediatric Surgery ◽  
Pediatric Patients ◽  
Abdominal Complications

A Clinical Study and Management of Inguino-scrotal Swellings In Children

2018 ◽  
Vol 2 (S1) ◽  
pp. e000125
Author(s):  
Khyati Vaja ◽  
Mukesh Suvera
Keyword(s):  
Inguinal Hernia ◽  
Pediatric Surgery ◽  
Pediatric Patients ◽  
Undescended Testis ◽  
Length Of Hospital Stay ◽  
Indirect Inguinal Hernia ◽  
Short Term ◽  
One Year ◽  
Groin Hernias ◽  
Inguinal Hernia In Children

Aims and Objectives: To know the most common surgical problems in pediatric patients presented with inguino-scrotal swellings and management done routinely. Methodology: This study was carried out in the department of general surgery, Sharadaben hospital and pediatric surgery of VS hospital, Ahmedabad. The cases were studied for a period of about one year (January, 2017 to Dec, 2017) and all children below 12 years of age, presenting to us with inguinoscrotal swellings were included in this study. The information was analysed in terms of age, diagnosis, procedure carried out and outcome. Results: Amongst the 150 children under the age of 12 years, 143 patients were males and 7 were females. Among these 150, 52 cases were of hydrocoele, 70 cases of hernia (of which 63 were males and 7 were females), 25 cases of undescended testis and 3 cases of epididymo orchitis were documented. All cases underwent simple herniotomy for hernia and hydrocoele, orchidopexy for undescended testis. The length of hospital stay ranged from 2-4 days with mean of 2.46 days. 11 children in the study were documented to have short term complications, all of which were recognised in the hospital and managed with good results. Conclusion: Hernia and Hydrocoele in children are often congenital and diagnosed clinically (history and examination). Indirect inguinal hernia are more common than other groin hernias. Open herniotomy is the operation of choice for inguinal hernia in children.

Abdominal complications in patients with a ventriculoperitoneal shunt: proposal for management recommendations from a single pediatric tertiary center

2021 ◽  
Author(s):  
Yamila Nadia Itati Basilotta Márquez ◽  
Juan Pablo Mengide ◽  
Juan Manuel Liñares ◽  
Amparo Saenz ◽  
Romina Argañaraz ◽  
...  
Keyword(s):  
Ventriculoperitoneal Shunt ◽  
Abdominal Complications ◽  
Tertiary Center ◽  
Management Recommendations

scholarly journals The Incidence and Causes of Unplanned Reoperations as a Quality Indicator in Pediatric Surgery

Children ◽  
2022 ◽  
Vol 9 (1) ◽  
pp. 106
Author(s):  
Miro Jukić ◽  
Ivona Biuk ◽  
Zenon Pogorelić
Keyword(s):  
Postoperative Period ◽  
Quality Indicator ◽  
Pediatric Surgery ◽  
Pediatric Patients ◽  
Length Of Hospital Stay ◽  
Common Procedure ◽  
Asa Score ◽  
Primary Surgery ◽  
Management Of Complications ◽  
Duration Of Surgery

Background: Unplanned return to the operating room (uROR) within the 30-day postoperative period can be used as a quality indicator in pediatric surgery. The aim of this study was to investigate and evaluate uROR as a quality indicator. Methods: The case records of pediatric patients who underwent reoperation within the 30-day period after primary surgery, from 1 January 2018 to 31 December 2020 were retrospectively reviewed. The primary outcome of the study was the rate of uROR as a quality indicator in pediatric surgery. Secondary outcomes were indications for primary and secondary surgery, types and management of complications, factors that led to uROR, length of hospital stay, duration of surgery and anesthesia, and starting time of surgery. Results: A total of 3982 surgical procedures, under general anesthesia, were performed during the three-year study period (2018, n = 1432; 2019, n = 1435; 2020, n = 1115). Elective and emergency surgeries were performed in 3032 (76.1%) and 950 (23.9%) patients, respectively. During the study period 19 (0.5%) pediatric patients, with the median age of 11 years (IQR 3, 16), underwent uROR within the 30-day postoperative period. The uROR incidence was 6 (0.4%), 6 (0.4%), and 7 (0.6%) for years 2018, 2019, and 2020, respectively (p = 0.697). The incidence of uROR was significantly higher in males (n = 14; 73.7%) than in females (n = 5; 26.3%) (p = 0.002). The share of unplanned reoperations in studied period was 4.5 times higher in primarily emergency surgeries compared to primarily elective surgeries (p < 0.001). The difference in incidence was 0.9% (95% CI, 0.4–1.4). Out of children that underwent uROR within the 30-day period after elective procedures, 50% had American Society of Anesthesiologists (ASA) score three or higher (p = 0.016). The most common procedure which led to uROR was appendectomy (n = 5, 26.3%) while the errors in surgical technique were the most common cause for uROR (n = 11, 57.9%). Conclusion: Unplanned reoperations within the 30-day period after the initial surgical procedure can be a good quality indicator in pediatric surgery. Risk factors associated with uROR are emergency surgery, male gender, and ASA score ≥3 in elective pediatric surgery.

Analysis of factors affecting ventriculoperitoneal shunt survival in pediatric patients

2013 ◽  
Vol 29 (5) ◽  
pp. 791-802 ◽  
Author(s):  
Farid Khan ◽  
Muhammad Shahzad Shamim ◽  
Abdul Rehman ◽  
Muhammad Ehsan Bari
Keyword(s):  
Ventriculoperitoneal Shunt ◽  
Pediatric Patients ◽  
Factors Affecting ◽  
Shunt Survival

Laparoscopic retrieval of disconnected ventriculoperitoneal shunt catheters

1982 ◽  
Vol 56 (4) ◽  
pp. 587-589 ◽  
Author(s):  
Gay M. Guzinski ◽  
William J. Meyer ◽  
John D. Loeser
Keyword(s):  
Ventriculoperitoneal Shunt ◽  
Pediatric Patients ◽  
Content Type ◽  
Laparoscopic Equipment ◽  
Successful Removal ◽  
Fine Print

✓ Retrieval of free abdominal ventriculoperitoneal shunt catheters usually requires laparotomy. The authors describe successful removal of free peritoneal catheters by means of commonly available adult laparoscopic equipment in four pediatric patients aged 2 to 12 years.

scholarly journals Ventricule-shunt abdominal complications

2017 ◽  
Vol 57 (1) ◽  
pp. 48
Author(s):  
Jose Albuquerque Landim Júnior ◽  
Valcler Antonio Cabral Rodrigues ◽  
Willy Okoba ◽  
Elson Arruda Linhares ◽  
Jose Ricardo Cunha Neves ◽  
...  
Keyword(s):  
Cerebrospinal Fluid ◽  
Ventriculoperitoneal Shunt ◽  
Clinical Presentation ◽  
Referral Centre ◽  
Abdominal Complications ◽  
Short And Long Term ◽  
Long Term Consequences ◽  
Fluid Collections ◽  
Surgical Aspects

The ventriculoperitoneal shunt (VPS) is a solution to relieving symptoms of excess cerebral-ventricle cerebrospinal fluid (CSF); draining this extra fluid to the peritoneum. Other forms of shunts exist though less used in relation to VPS; whose choice is mainly determined by patient’s clinical presentation and regressive history. Though rare, VPS is not devoid of complications. Furthermore, primary abdominal complications are rarer, though most present as peritonitis, abscess or shunt catheter dissociation, each with varying short and long term consequences. Recently, abdominal fluid collections are drawing increasing interest, particularly in relation to: encysted collections (abdominal pseudocysts-APC) and excess cerebrospinal fluid (CSF) accumulation (called CSF ascites). We present a case of an abdominal APC diagnosed in an outpatient treated at our referral centre, and explore the involved clinical and surgical aspects. This patient was successfully treated and evolved well post-operatively and up-to-date. Despite vast evolution in neurosurgery, VPS continues being the prima choice in treating hydrocephalus, a procedure prone to complications just like any surgery, though rare. Non-draining shunts usually warrant revision which usually means at least a reoperation. Mechanisms leading to APC formation remain unknown, although a previous bout of sub-clinical peritonitis continues being the dominant hypothesis.

scholarly journals Special Considerations in Pediatric Abdominal Surgeries

2021 ◽  
Author(s):  
Arwa El Rifai ◽  
Ahmad Zaghal
Keyword(s):  
Perioperative Care ◽  
Pediatric Surgery ◽  
Pediatric Patients ◽  
Operative Management ◽  
Anatomic Variations ◽  
Operative Techniques ◽  
Functional Reserve

Pediatric surgery, as a specialty, pertains to the diagnosis, treatment and operative management of pediatric patients with congenital as well as acquired pathologies. The physiology and functional reserve of children is different than adults and this necessitates special considerations when dealing with this subgroup of patients. This includes careful anesthesia planning, perioperative care, as well as in-depth knowledge and appreciation of anatomic variations and operative techniques.

scholarly journals Laparoscopic assisted ventriculoperitoneal shunt revisions as an option for pediatric patients with previous intraabdominal complications

2014 ◽  
Vol 72 (4) ◽  
pp. 307-311 ◽  
Author(s):  
Fernanda O. de Carvalho ◽  
Antonio R. Bellas ◽  
Luciano Guimarães ◽  
José Francisco Salomão
Keyword(s):  
Ventriculoperitoneal Shunt ◽  
Pediatric Patients ◽  
Pediatric Neurosurgery ◽  
Shunt Revision ◽  
Shunt Failure ◽  
Abdominal Pseudocyst ◽  
Effective Option ◽  
Video Laparoscopy ◽  
Laparoscopic Assisted

Multiple shunt failure is a challenge in pediatric neurosurgery practice and one of the most feared complications of hydrocephalus. Objective: To demonstrate that laparoscopic procedures for distal ventriculoperitoneal shunt failure may be an effective option for patients who underwent multiple revisions due to repetitive manipulation of the peritoneal cavity, abdominal pseudocyst, peritonitis or other situations leading to a “non reliable” peritoneum. Method: From March 2012 to February 2013, the authors reviewed retrospectively the charts of six patients born and followed up at our institution, which presented with previous intra-peritoneal complications and underwent ventriculoperitoneal shunt revision assisted by video laparoscopy. Results: After a mean follow-up period of nine months, all patients are well and no further shunt failure was identified so far. Conclusion: Laparoscopy assisted shunt revision in children may be, in selected cases, an effective option for patients with multiple peritoneal complications due to ventriculo-peritoneal shunting.

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