Retrieval of a Disconnected Ventriculoperitoneal Shunt Catheter by Laparoscopy in a Newborn Child: Case Report

Deinsberger, Wolfgang; Langhans, M; Winking, Michael; Böker, D.-K.

doi:10.1055/s-2008-1053470

Cited by 13 publications

(5 citation statements)

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“…The ability to visualize the entire peritoneal cavity also allows the retrieval of foreign bodies, lysis of adhesions and culturing of abdominal fluid. Also, the lysis of adhesions may decrease the need for pleural or atrial shunts [10][11][12][13]25,28,29) . In all patients, the insertion of the catheter within the abdominal cavity was performed with only one veress needle and one laparoscope with five millimeter trocar.…”

Section: Discussionmentioning

confidence: 99%

Laparotomy versus Laparoscopic Placement of Distal Catheter in Ventriculoperitoneal Shunt Procedure

Park

et al. 2010

J Korean Neurosurg Soc

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Objective : Traditionally, peritoneal catheter is inserted with midline laparotomy incision in ventriculoperitoneal (V-P) shunt procedures. Complications of V-P shunt is not uncommon and have been reported to occur in 5-37% of cases. The aim of this study is to compare the clinical outcomes and the operation time between laparotomy and laparoscopic groups. Methods : A total of 155 V-P shunt procedures were performed to treat hydrocephalic patients of various origins in our institute between June 2006 to January 2010; 95 of which were laparoscopically guided and 65 were not. We reviewed the operation time, surgery-related complications, and intraoperative and postoperative problems. Results : In the laparoscopy group, the mean duration of the procedure (52 minutes) was significantly shorter (p < 0.001) than the laparotomy group (109 minutes). There were two cases of malfunctions and one incidence of diaphragm injury in the laparotomy group. In contrast, there were neither malfunction nor any internal organ injuries in the laparoscopy group (p = 0.034). There were total of two cases of infections from both groups (p = 0.7). Conclusion : Laparoscopically guided insertions of distal shunt catheter is considered a fast and safe method in contrast to the laparotomy technique. This method allows the exact localization of the peritoneal catheter and a confirmation of its patency.

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Section: Discussionmentioning

confidence: 99%

Laparotomy versus Laparoscopic Placement of Distal Catheter in Ventriculoperitoneal Shunt Procedure

Park

et al. 2010

J Korean Neurosurg Soc

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“…The most common distal VP shunt complications include subcutaneous collection of cerebrospinal fluid (CSF), peritoneal pseudocyst formation, extraperitoneal retraction of the catheter, and the development of incisional hernia [8][9][10]. Other less common abdominal complications include gastric perforation and catheter disconnection, as well as pleural, bladder, and scrotal irritation [11][12][13]. Obstruction of the distal catheter must be treated as an emergency because it could lead to a significant increase in the intracranial pressure, resulting in associated complications that include considerable morbidity and possible death [8] [8].…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic management of distal ventriculoperitoneal shunt complications

et al. 2008

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Regardless of the patient's presenting symptoms, appropriate imaging studies should be obtained preoperatively in a sequential manner. Distal VP shunt complications can be safely and effectively managed laparoscopically. This approach allows the intraabdominal portion of the catheter to be assessed and problems to be managed, thereby salvaging the existing shunt and avoiding the potential morbidity associated with additional VP shunt placement.

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“…Its recent use in neonatal patients is due to advances in technology. Refinements to existing laparoscopic instrumentation have enabled its use in smaller patients [4,5,13,14]. Improved resolution in antenatal ultrasonography has also resulted in easier detection of intraabdominal cysts.…”

Section: Discussionmentioning

confidence: 98%

Laparoscopic management of a large ovarian cyst in the neonate

1998

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Laparotomy has become the preferred approach to the excision of large, complex abdominal cysts in the neonate. We describe a laparoscopic-assisted decapsulation of an antenatally diagnosed abdominal cyst that was noted on postnatal ultrasound scan to have a complex echo pattern. This limited procedure allows for accurate verification of the diagnosis, institution of appropriate therapy, and organ salvage. It represents a superior management option that obviates the significant complications associated with conservative management.

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Retrieval of a Disconnected Ventriculoperitoneal Shunt Catheter by Laparoscopy in a Newborn Child: Case Report

Abstract: In rare cases the peritoneal catheter of a ventriculoperitoneal shunt dislodges from the valve and the peritoneal tube migrates into the peritoneal cavity. For retrieval of the free intraperitoneal shunt, tube laparoscopy is the initial method of choice.

Cited by 13 publications

References 0 publications

Laparotomy versus Laparoscopic Placement of Distal Catheter in Ventriculoperitoneal Shunt Procedure

Laparotomy versus Laparoscopic Placement of Distal Catheter in Ventriculoperitoneal Shunt Procedure

Laparoscopic management of distal ventriculoperitoneal shunt complications

Laparoscopic management of a large ovarian cyst in the neonate

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