Distal end revision of ventriculoperitoneal shunts sparing minilaparotomy

1996 ◽  
Vol 85 (6) ◽  
pp. 1187-1188 ◽  
Author(s):  
Ismail H. Tekkök ◽  
Michael J. Higgins ◽  
Enrique C. G. Ventureyra
Keyword(s):  
Ventriculoperitoneal Shunt ◽  
Simple Technique ◽  
Peritoneal Catheter ◽  
Content Type ◽  
Ventriculoperitoneal Shunts ◽  
Catheter Replacement ◽  
Fine Print

✓ Distal end malfunction of a ventriculoperitoneal shunt occurs secondary to outgrown, disconnected, fractured, or occluded peritoneal catheters. Replacement of such catheters normally requires a minilaparotomy. The authors describe a simple technique for peritoneal catheter replacement without minilaparotomy.

Abdominal pseudocysts and ascites formation after ventriculoperitoneal shunt procedures

1975 ◽  
Vol 43 (4) ◽  
pp. 476-480 ◽  
Author(s):  
S. Walton Parry ◽  
John F. Schuhmacher ◽  
Raeburn C. Llewellyn
Keyword(s):  
Cerebrospinal Fluid ◽  
Ventriculoperitoneal Shunt ◽  
Signs And Symptoms ◽  
Late Complications ◽  
Neurological Symptoms ◽  
Shunt Malfunction ◽  
Content Type ◽  
Ventriculoperitoneal Shunts ◽  
Ascites Formation ◽  
Fine Print

✓The authors report three patients with abdominal pseudocysts and one with cerebrospinal fluid ascites as late complications of ventriculoperitoneal shunts. The presenting signs and symptoms were those of an intraabdominal abnormality, with no neurological symptoms suggestive of shunt malfunction.

Evaluation and use of the ventriculoperitoneal shunt in hydrocephalus

1971 ◽  
Vol 34 (6) ◽  
pp. 792-795 ◽  
Author(s):  
William M. Hammon
Keyword(s):  
Ventriculoperitoneal Shunt ◽  
Marked Decrease ◽  
Diagnostic Procedures ◽  
Pulmonary Complications ◽  
High Rate ◽  
Peritoneal Catheter ◽  
Content Type ◽  
Total Absence ◽  
Shunt Procedure ◽  
Fine Print

✓ The high rate of complications associated with ventriculocardiac shunts at the Walter Reed General Hospital led to the evaluation of a new ventriculoperitoneal shunt procedure. Results with the ventriculoperitoneal shunt have shown a marked decrease in total complications and malfunctions and total absence of all cardiovascular-pulmonary complications, early and late. The Silastic peritoneal catheter has not become occluded, and is adaptable to other diagnostic procedures and injections. When lengthening of the peritoneal catheter is finally required due to the patient's growth, it should be easy to perform.

Knotted bowel: small-bowel obstruction from coiled peritoneal shunt catheters

1995 ◽  
Vol 82 (6) ◽  
pp. 1062-1064 ◽  
Author(s):  
Abhay Sanan ◽  
Stephen J. Haines ◽  
Scott L. Nyberg ◽  
Arnold S. Leonard
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
The Other ◽  
Rare Occurrence ◽  
Peritoneal Catheter ◽  
Content Type ◽  
Ventriculoperitoneal Shunts ◽  
Incomplete Removal ◽  
Fine Print

✓ Knotting of a peritoneal catheter around a loop of bowel is a rare occurrence, which may lead to bowel obstruction. The incomplete removal of two ventriculoperitoneal shunts resulted in two cases of iatrogenically knotted peritoneal catheters. One patient underwent a laparotomy for relief of obstruction and the other was successfully treated by uncoiling the catheter by means of a wire passed into its lumen. A plan for management of a knotted peritoneal catheter is outlined.

Extrusion of a peritoneal catheter through the abdominal wall in an infant

1982 ◽  
Vol 57 (1) ◽  
pp. 148-149 ◽  
Author(s):  
Susumu Wakai
Keyword(s):  
Abdominal Wall ◽  
Ventriculoperitoneal Shunt ◽  
Peritoneal Catheter ◽  
Content Type ◽  
Fine Print

✓ A case is reported in which the Raimondi peritoneal catheter of a ventriculoperitoneal shunt spontaneously protruded from the abdominal wall of an 8-month-old infant.

Treatment of hydrocephalus and bilateral subdural effusions in a patient with closed sutures

1976 ◽  
Vol 45 (4) ◽  
pp. 447-448 ◽  
Author(s):  
Selvadurai Sivalingam ◽  
Guy Corkill
Keyword(s):  
Ventriculoperitoneal Shunt ◽  
Simple Technique ◽  
Shunt System ◽  
Content Type ◽  
Subdural Hematomas ◽  
Subdural Effusions ◽  
Fine Print

✓ For management of bilateral subdural hematomas in a hydrocephalic child with fused sutures, a simple technique is described that involves minimal cranial procedures for modification of an already installed ventriculoperitoneal shunt system.

Ventriculoperitoneal shunt procedure complicated by ureter obstruction

1983 ◽  
Vol 59 (3) ◽  
pp. 542-544 ◽  
Author(s):  
Carl E. Clarke ◽  
Kamal S. Paul ◽  
Richard H. Lye
Keyword(s):  
Ventriculoperitoneal Shunt ◽  
Case History ◽  
Rare Complication ◽  
Peritoneal Catheter ◽  
Shunt System ◽  
Content Type ◽  
Ureter Obstruction ◽  
Shunt Procedure ◽  
History Of ◽  
Fine Print

✓ The authors present the case history of a patient in whom the peritoneal catheter of a ventriculoperitoneal shunt system caused ureter obstruction. This is a rare complication of such a shunt procedure, and the patient's symptoms were relieved by shortening the peritoneal catheter.

A simple method for distal catheter lengthening of ventriculoperitoneal shunts

1992 ◽  
Vol 77 (5) ◽  
pp. 810-811 ◽  
Author(s):  
Todd M. Goldenberg ◽  
Michael B. Pritz
Keyword(s):  
Simple Technique ◽  
Simple Method ◽  
Distal Catheter ◽  
Content Type ◽  
Ventriculoperitoneal Shunts ◽  
Fine Print

✓ A simple technique to lengthen the distal catheter of ventriculoperitoneal shunts is described. This method, which utilizes a guidewire, has been successful in elective shunt revisions in eight children.

Spontaneous etrusion of the abdominal tube through the umbilicus complicating peritoneal shunt for hydrocephalus

1973 ◽  
Vol 38 (6) ◽  
pp. 758-760 ◽  
Author(s):  
Adelola Adeloye
Keyword(s):  
Ventriculoperitoneal Shunt ◽  
Predisposing Factors ◽  
Content Type ◽  
Abdominal Portion ◽  
Fine Print

✓ This paper reports the spontaneous extrusion of the abdominal portion of a ventriculoperitoneal shunt through the umbilicus. Some of the possible predisposing factors are discussed.

Pneumocephalus following ventriculoperitoneal shunt

1975 ◽  
Vol 43 (5) ◽  
pp. 631-633 ◽  
Author(s):  
Lawrence H. Pitts ◽  
Charles B. Wilson ◽  
Herbert H. Dedo ◽  
Robert Weyand
Keyword(s):  
Cerebrospinal Fluid ◽  
Intracranial Pressure ◽  
Ventriculoperitoneal Shunt ◽  
Cerebrospinal Fluid Leakage ◽  
Congenital Defects ◽  
Content Type ◽  
Ventriculoperitoneal Shunting ◽  
Tegmen Tympani ◽  
Temporal Bones ◽  
Fine Print

✓ The authors describe a case of massive pneumocephalus following ventriculoperitoneal shunting for hydrocephalus. After multiple diagnostic and surgical procedures, congenital defects in the tegmen tympani of both temporal bones were identified as the sources for entry of air. A functioning shunt intermittently established negative intracranial pressure and allowed ingress of air through these abnormalities; when the shunt was occluded, air did not enter the skull, and there was no cerebrospinal fluid leakage. Repair of these middle ear defects prevented further recurrence of pneumocephalus.

Subcutaneous reaction to silicone in ventriculoperitoneal shunts

1974 ◽  
Vol 41 (3) ◽  
pp. 367-371 ◽  
Author(s):  
Oscar Sugar ◽  
Orville T. Bailey
Keyword(s):  
Cerebrospinal Fluid ◽  
Connective Tissue ◽  
Fibrous Connective Tissue ◽  
Subcutaneous Implantation ◽  
Content Type ◽  
Ventriculoperitoneal Shunts ◽  
Silicone Tubing ◽  
Connective Tissue Sheath ◽  
Fine Print

✓Silicone tubing (Silastic) used for ventriculoperitoneal shunts induces a fibrous connective tissue sheath around the tubing in children and adults. Two children examined 8 and 3 years after subcutaneous implantation showed a complete tube of dense fibrous connective tissue around the silicone tubing. The reaction was entirely quiescent. These tubes of connective tissue were apparently capable of conveying cerebrospinal fluid for some months after the silicone tubing was disconnected from the pump or pulled out of the abdomen.

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