Minimally invasive insertion of thecoperitoneal shunts using ventriculoscope

Elatrozy, Hytham; Saber, Sherif; Abdelhameed, Esam

doi:10.1016/j.inat.2021.101274

Cited by 2 publications

(3 citation statements)

References 25 publications

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“…In another study, Elatrozy et al [27] described their technique for the placement of the peritoneal tip of LP using the ventriculoscope. They included 15 patients and results showed that the operative time was 84.5 min.…”

Section: Discussionmentioning

confidence: 99%

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Laparoscopic-assisted intraperitoneal placement of lumboperitoneal shunt in patients with idiopathic intracranial hypertension

et al. 2023

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Background Lumboperitoneal (LP) shunting is an effective treatment option aiming at cerebrospinal fluid diversion in cases of idiopathic intracranial hypertension. Confirming the distal end position, on the other hand, could be technically difficult, especially in obese people. With minimal invasive procedures, laparoscopic-assisted placement of the peritoneal side of the LP shunt became a valid treatment option. In this study, we aim to evaluate the operation duration, possible complications, and patient outcomes after the placement of a peritoneal catheter using the laparoscopically assisted technique. Methods A retrospective analysis of clinical, preoperative, and postoperative data for 18 patients diagnosed with idiopathic intracranial hypertension and undergoing LP shunt surgery using the laparoscopic-assisted technique for intraperitoneal catheter placement between 2019 and 2021 was performed. Results The average operating time was 93.89 min, and the average hospital stay was 2.3 days. There was no mortality among cases treated with the described technique, and no intraoperative complication occurred. Seven patients (38.9%) had LP shunt failure, with a median duration to failure of 212 days; three cases for slippage, two cases had over drainage, one case had peritoneal adhesions around the shunt tip, and one case had Arnold Chiari malformation. Conclusions The laparoscopic assisted technique is safe and feasible. It allowed a direct vision of the shunt tip position within the peritoneal cavity which helped in confirming position and assessing function, resulting in a superior option over classic surgical options. Short hospital stay, minimal postoperative pain, and low failure rates are the main advantages of described technique.

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Section: Discussionmentioning

confidence: 99%

“…They included 15 patients and results showed that the operative time was 84.5 min. They had 2 cases of shunt infection but no migration or obstruction [27].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic-assisted intraperitoneal placement of lumboperitoneal shunt in patients with idiopathic intracranial hypertension

et al. 2023

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“…Tarlov cysts are CSF-filled cavities contained by an epithelium first described in cadaveric surgery by Tarlov. [ 5 , 7 ] With a global prevalence rate of 4.27%,[ 3 , 14 ] they form between perineurium and endoneurium at dorsal nerve roots (DRG) and mostly at sacral levels. [ 16 ] They are reported as incidental findings 99% times because they are asymptomatic at the same percentage.…”

Section: Discussionmentioning

confidence: 99%

Giant Tarlov Cyst presenting as pelvic mass: Often doing less is better

Mehan

Ruchika²,

Chaturvedi

et al. 2023

Surgical Neurology International

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Background: Tarlov cysts are sacral perineural cysts arising between the peri and endoneurium of the posterior spinal nerve root at the Dorsal Root Ganglion and have a global prevalence rate of 4.27%. These are primarily asymptomatic (only 1% with symptoms) and typically arise in females between the ages of 50–60. Patients’ symptoms include radicular pain, sensory dysesthesias, urinary and/or bowel symptoms, and sexual dysfunction. Non-surgical management with lumbar cerebrospinal fluid drainage and computerized tomography-guided cyst aspiration typically provide only months of improvement before recurring. Surgical treatment includes a laminectomy, cyst, and/or nerve root decompression with fenestration of the cyst and/ or imbrication. Early surgery for large cysts provides the longest symptom-free periods. Case Description: A 30-year-old male presented with a very large magnetic resonance-documented Tarlov cyst (Nabors Type 2) arising from bilateral S2 nerve root sheaths with marked pelvic extension. Although he was initially treated with a S1, S2 laminectomy, closure of the dural defect, and excision/marsupialization of the cyst, he later required placement of a thecoperitoneal shunt (TP shunt). Conclusion: A 30-year-old male with large Nabors Type 2 Tarlov cyst arising from both S2 nerve root sheaths required a S1-S2 laminectomy, dural closure/marsupialization, and imbrication of the cyst, eventually followed by placement of a TP shunt.

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Minimally invasive insertion of thecoperitoneal shunts using ventriculoscope

Cited by 2 publications

References 25 publications

Laparoscopic-assisted intraperitoneal placement of lumboperitoneal shunt in patients with idiopathic intracranial hypertension

Laparoscopic-assisted intraperitoneal placement of lumboperitoneal shunt in patients with idiopathic intracranial hypertension

Giant Tarlov Cyst presenting as pelvic mass: Often doing less is better

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