Fernanda O de Carvalho1, Antonio R Bellas1, Luciano Guimarães2, José Francisco Salomão1. 1. Serviço de Neurocirurgia Pediátrica, Instituto Nacional da Saúde da Mulher, Criança e Adolescente Fernandes Figueira, Instituto Fernandes Figueira, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brazil. 2. Departamento de Cirurgia Pediátrica, Instituto Nacional da Saúde da Mulher, Criança e Adolescente Fernandes Figueira, Instituto Fernandes Figueira, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brazil.
Abstract
UNLABELLED: 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.
UNLABELLED: 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.
Authors: Leopoldo Mandic Ferreira Furtado; José Aloysio Da Costa Val Filho; Rodrigo Moreira Faleiro; José Antônio Lima Vieira; Aieska Kellen Dantas Dos Santos Journal: Cureus Date: 2021-02-08