Malfunction of a ventriculoperitoneal shunt during pregnancy

Bringing a pregnancy to term is possible for a woman carrying a ventriculoperitoneal bypass valve, however, pregnancy can be a source of malfunction of the bypass system. We report two cases of malfunction of a VPS during the pregnancy's 3rd trimester in two patients aged 25 and 30 years respectively. The valve was examined in both cases and the persistence of the neurological signs required a cesarean section. The diagnostic aspects and management strategies were discussed as regards these two cases and throughout the literature review.

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ECOLOGICAL AND DIAGNOSTIC ASPECTS OF URINARY SCHISTOSOMIASIS AS PRECANCER (Literature review)

Human Ecology ◽

10.33396/1728-0869-2016-1-50-56 ◽

2016 ◽

pp. 50-56

Author(s):

V. Startsev ◽

A. Kolmakov

Keyword(s):

Literature Review ◽

Urinary Schistosomiasis ◽

Diagnostic Aspects

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Migration of distal ventriculoperitoneal shunt catheter into an inguinal hernia sac in an adult patient: a case report and literature review

ANZ Journal of Surgery ◽

10.1111/ans.16741 ◽

2021 ◽

Author(s):

Jason Trang ◽

David McHarg ◽

Brian Owler

Keyword(s):

Case Report ◽

Inguinal Hernia ◽

Literature Review ◽

Adult Patient ◽

Ventriculoperitoneal Shunt ◽

Hernia Sac ◽

Shunt Catheter

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Uterine Artery Pseudoaneurysm after Cesarean Section: Case Report and Literature Review

Journal of Minimally Invasive Gynecology ◽

10.1016/j.jmig.2010.06.004 ◽

2010 ◽

Vol 17 (6) ◽

pp. 687-691 ◽

Cited By ~ 29

Author(s):

Wataru Isono ◽

Ryo Tsutsumi ◽

Osamu Wada-Hiraike ◽

Akihisa Fujimoto ◽

Yutaka Osuga ◽

...

Keyword(s):

Case Report ◽

Literature Review ◽

Cesarean Section ◽

Uterine Artery ◽

Artery Pseudoaneurysm ◽

Uterine Artery Pseudoaneurysm

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Delayed uterine rupture occurred 4 weeks after cesarean section following sexual intercourse: A case report and literature review

Taiwanese Journal of Obstetrics and Gynecology ◽

10.1016/j.tjog.2012.04.041 ◽

2013 ◽

Vol 52 (3) ◽

pp. 411-414 ◽

Cited By ~ 3

Author(s):

Hsing-Fen Tsai ◽

Hsiang-Lin Song ◽

Wen-Chung Chen ◽

Chia-Ming Chang ◽

Chiung-Hsin Chang ◽

...

Keyword(s):

Case Report ◽

Literature Review ◽

Cesarean Section ◽

Sexual Intercourse ◽

Uterine Rupture

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Endometriosis of Rectus Muscle Excised During Cesarean Section: A Case Report and Literature Review

Gynecology Obstetrics and Reproductive Medicine ◽

10.21613/gorm.2016.489 ◽

2016 ◽

Author(s):

Recep Erin ◽

Kübra Baki Erin ◽

Derya Burkankulu Ağırbaş ◽

Burcu Kemal Okatan

Keyword(s):

Case Report ◽

Pregnant Woman ◽

Literature Review ◽

Cesarean Section ◽

Abdominal Wall ◽

Rectus Muscle ◽

Surgical Excision ◽

Treatment Method ◽

Abdominal Wall Endometriosis ◽

Subcutaneous Mass

We aimed to present a case with abdominal wall endometriosis following cesarean section in this case report. A 32 year old 39 weeks pregnant woman with G2P1 was admitted to gynaecology clinic with abdominal lump and pain in the midline. Her physical examination included a hard and painful palpable subcutaneous mass of 4x5 cm size in the midline of the abdomen which was semisolid and irreducible. Under general anesthesia, the mass on the rectus muscle was excised with the healthy tissue around with the diagnosis of endometriosis during cesarean section and the pathological diagnosis was reported as endometriosis. Surgical excision is the best treatment method in abdominal wall endometriosis.

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A Combined Spinal-Epidural Anesthesia for Cesarean Section in a Pregnant Woman with a Ventriculoperitoneal Shunt

Journal of Anesthesia & Critical Care Open Access ◽

10.15406/jaccoa.2017.07.00252 ◽

2017 ◽

Vol 7 (2) ◽

Keyword(s):

Pregnant Woman ◽

Cesarean Section ◽

Epidural Anesthesia ◽

Ventriculoperitoneal Shunt ◽

Combined Spinal Epidural ◽

Combined Spinal Epidural Anesthesia ◽

Spinal Epidural

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Community-Based Stunting Intervention Strategies: Literature Review

Dunia Keperawatan ◽

10.20527/dk.v8i2.8555 ◽

2020 ◽

Vol 8 (2) ◽

pp. 259

Author(s):

Lita Heni Kusumawardani ◽

Rasdiyanah Rasdiyanah ◽

Utami Rachmawati ◽

Muhamad Jauhar ◽

I Gusti Ayu Putu Desy Rohana

Keyword(s):

Literature Review ◽

Rural Areas ◽

Health Workers ◽

Management Strategies ◽

Intervention Strategies ◽

Personal Hygiene ◽

Community Based ◽

Normal Children ◽

Nutritional Interventions ◽

Attitudes And Practices

Stunting is a growth disorder in children caused by malnutrition for a long time. The child's condition becomes shorter than normal children his age and has a delay in thinking. The incidence of stunting in Indonesia is quite high sostunting is becoming a priority health problem now. An effective strategy is needed to control stunting in Indonesia. The aim of this review was to explore the stunting management strategies to potentially implement in Indonesia.A literature review design was used to explore the stunting management strategies. Literature study of 15 articles retrieved from the journal database of Science Direct, Proquest, Scopus, and EBSCO in the last 5 years using keywords stunting, management, rural areas, and community based. Data were analyzed in tables consist of title, author, year, sample, methodology, and result. Control and preventionstunting could done through integrated nutrition interventions.Strategy Specific nutritional interventions such as providing supplementation and supplementary food plus nutritional interventions including non-health interventions, improving the family's economy, access and utilization of clean water, sanitation (especially latrines and safe septic tanks), which are urgently needed to support personal hygiene behavior and the environment . Interventions can use mother's counseling and support methods regularly by health workers by involving health cadres.Specific and sensitive intervention strategies are effective strategies within stunting control and prevention. Monitoring and evaluation of nutritional knowledge, attitudes and practices coupled with an assessment of the nutritional status and morbidity of mothers and children is also very necessary in controlling and preventing stunting in Indonesia

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Management of postoperative internal carotid artery intimal flap after carotid endarterectomy: a cohort study and systematic review

Journal of Neurosurgery ◽

10.3171/2021.2.jns2167 ◽

2021 ◽

pp. 1-8

Author(s):

Jonathan Rychen ◽

Adrian Madarasz ◽

Michael Murek ◽

Philippe Schucht ◽

Mirjam R. Heldner ◽

...

Keyword(s):

Systematic Review ◽

Carotid Artery ◽

Literature Review ◽

Internal Carotid Artery ◽

Carotid Endarterectomy ◽

Systematic Literature Review ◽

Internal Carotid ◽

Management Strategies ◽

Intimal Flap

OBJECTIVE Postoperative internal carotid artery (ICA) intimal flap (IF) is a potential complication after carotid endarterectomy (CEA) for carotid artery stenosis. There are no clear recommendations in the current literature on the management of this condition due to sparse evidence. Some authors advocate carotid stent placement or reoperation, while others suggest watchful waiting. The aim of this study was to analyze incidence and management strategies of postoperative ICA-IF, and moreover, to put these findings into context with a systematic literature review. METHODS The authors retrospectively reviewed all consecutive CEA cases performed at the University Hospital of Bern over a decade (January 2008 to December 2018). The incidence of postoperative ICA-IF, risk factors, management strategies, and outcomes were analyzed. These results were put into context with a systematic review following the PRISMA guidelines. RESULTS A total of 725 CEAs were performed between January 2008 and December 2018. Postoperative ICA-IF was detected by routine duplex neurovascular ultrasound (NVUS) in 13 patients, corresponding to an incidence rate of 1.8% (95% CI 1.0%–3.1%). There were no associated intraluminal thrombi on the detected IF. Intraoperative shunt placement was used in 5.6% and one or more intima tack sutures were performed in 42.5% of the 725 cases. There was no significant association between intraoperative shunt placement and the occurrence of an IF (p > 0.99). Two patients (15.4%) with IF experienced a transient postoperative neurological deficit (transient ischemic attack). In these cases, the symptoms resolved spontaneously without any interventions or change in the antiplatelet regimen. All other cases (84.6%) with IF were asymptomatic. In 1 patient (7.7%) with IF, the antiplatelet treatment was switched from a mono- to a dual-antiaggregating regimen because the IF led to a stenosis > 70%; this patient remained asymptomatic. All cases of IFs were managed conservatively with close radiological follow-up evaluations, without reoperation or stenting of the ICA. All 13 IFs vanished spontaneously after a mean duration of 6.9 months (median 1.5 months, range 0.5–48 months). A systematic literature review revealed a postoperative ICA-IF incidence of 3.0% (95% CI 2.1%–4.1%) with relatively heterogenous management strategies. CONCLUSIONS Postoperative ICA-IF is a rare finding after CEA. Conservative therapy with close NVUS follow-up evaluations appears to be an acceptable and safe management strategy for asymptomatic IFs without associated intraluminal thrombi.

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