scholarly journals Laparoscopic management of abdominal pseudocyst following ventriculoperitoneal shunt implantation in hydrocephalus

Author(s):  
Maciej Sebastian ◽  
Agata Sebastian ◽  
Maciej Sroczyński ◽  
Jerzy Rudnicki

2016 ◽  
Vol 26 (4) ◽  
pp. 347-350
Author(s):  
Jhe-Syun Wu ◽  
Chiang-Liang Wu ◽  
Jia-Hui Chen




2014 ◽  
Vol 72 (4) ◽  
pp. 307-311 ◽  
Author(s):  
Fernanda O. de Carvalho ◽  
Antonio R. Bellas ◽  
Luciano Guimarães ◽  
José Francisco Salomão

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.





2017 ◽  
Vol 12 (1) ◽  
pp. 13 ◽  
Author(s):  
Raashid Hamid ◽  
AejazA Baba ◽  
NisarA Bhat ◽  
Gowhar Mufti ◽  
YounisA Mir ◽  
...  


2017 ◽  
Vol 7 (2) ◽  
pp. 98-108 ◽  
Author(s):  
Shigeki Yamada ◽  
Masatsune Ishikawa ◽  
Masakazu Miyajima ◽  
Madoka Nakajima ◽  
Masamichi Atsuchi ◽  
...  

AbstractBackground:The 3-meter Timed Up and Go test (TUG) is a reliable quantitative test for assessment of gait and balance. We aimed to establish an optimal threshold of TUG at the tap test for predicting outcomes 12 months after shunt surgery in patients with idiopathic normal pressure hydrocephalus (iNPH).Methods:The TUG was measured in a total of 151 patients with possible iNPH before and after a tap test and 12 months after shunt surgery. Among them, 81 patients underwent ventriculoperitoneal shunt implantation (SINPHONI) and 70 underwent lumboperitoneal shunt implantation (SINPHONI-2). The areas under the curve (AUCs), sensitivities, and specificities for predicting shunt effectiveness were assessed.Results:The simple differences of time on TUG at the tap test were significantly more accurate for predicting shunt effectiveness than percent improvement of time. The highest AUC for the synchronized moving cutoff point of TUG time was 0.81 (sensitivity 81.0%; specificity 81.6%) at the threshold of 5 seconds in the SINPHONI-2. For predicting improvements of ≥10 seconds 12 months after lumboperitoneal shunt implantation, the AUC was 0.90, and the sensitivity and specificity at the threshold of 5.6 seconds were 83.3% and 81.0%. Only for patients with a <5-second improvement at the tap test, ventriculoperitoneal shunt implantation conveyed significantly better improvements in TUG time 12 months after surgery than lumboperitoneal shunt implantation.Conclusions:An improvement of 5 seconds was a useful threshold of TUG time at the tap test for predicting a ≥10-second improvement 12 months after shunt surgery, rather than the percent improvement of TUG time.



2021 ◽  
Vol 11 (04) ◽  
pp. 252-257
Author(s):  
Alícia de Oliveira Mendes ◽  
Fernanda Aquino Freres Silva ◽  
Willy Marcus França


Nowa Medycyna ◽  
2018 ◽  
Vol 25 (3) ◽  
Author(s):  
Jakub Noskiewicz ◽  
Bartłomiej Kopaczewski ◽  
Małgorzata Rzanny-Owczarzak ◽  
Krzysztof Jarmusz ◽  
Barbara Kocąb ◽  
...  

Ventriculoperitoneal shunt implantation is one of the most common procedures in paediatric neurosurgery. Although the procedure is used often in general neurosurgical practice and regarded as a safe intervention, it has several usual and unusual complications. About a half of these complications involve the peritoneal catheter. Spontaneous transanal protrusion of ventriculoperitoneal shunt is very rare. A 4-month-old baby was admitted to hospital due to spontaneous, asymptomatic transanal protrusion of ventriculoperitoneal catheter. The boy was put on intravenous antibiotics and taken to surgery. Treatment consisted of extrusion of the peritoneal catheter through the anus and temporary externalisation of the proximal part of the shunt. The previously implanted valve was preserved. Laparotomy was not necessary. Postoperative parenteral nutrition was used. No gastrointestinal complications were found on postoperative observation. Finally, a new peritoneal catheter was implanted.



2008 ◽  
Vol 22 (8) ◽  
pp. 1866-1870 ◽  
Author(s):  
V. Nfonsam ◽  
B. Chand ◽  
S. Rosenblatt ◽  
R. Turner ◽  
M. Luciano


2003 ◽  
Vol 7 (1) ◽  
pp. 51-54 ◽  
Author(s):  
S.N. Oak ◽  
S.V. Parelkar ◽  
P. Agarwal ◽  
P. Gera ◽  
K. Lahiri ◽  
...  


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