Spontaneous externalization of a ventriculoperitoneal shunt tip through the navel

Gadjradj, Pravesh S.; Willemsz, Laura; Spoor, Jochem K. H.

doi:10.1080/02688697.2020.1716946

Cited by 1 publication

(13 citation statements)

References 5 publications

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“…This review consisted of a total of n=24 cases (12 males, 12 females) of trans-umbilical extrusion of the distal VPS catheter, and all were children below the age of 13-years. [11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30] Nineteen manuscripts were published and available in the English language. 11,[13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30] One of the manuscripts was published and available in a language other than English.…”

Section: Resultsmentioning

confidence: 99%

“…[11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30] Nineteen manuscripts were published and available in the English language. 11,[13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30] One of the manuscripts was published and available in a language other than English. 12 Fourteen cases of extrusion of the distal VPS catheter through the umbilicus were published as case reports.…”

Section: Resultsmentioning

confidence: 99%

“…[31][32][33] The demographics, clinical and operative details of n=24 children included in the present review of the management of extrusion of the distal VPS catheter through the umbilicus are provided in Table 1. [11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30] Results of the present review on the management of trans-umbilical extrusion of the distal VPS catheter are summarized in Table 2.…”

Section: Resultsmentioning

confidence: 99%

“…It was less frequent, 36-months after the VPS insertion/revision, and occurred only in n=2 of children. 27 Initial VPS catheter was implanted for congenital hydrocephalus in (n=13) 54% of children. [11][12][13]15,17,20,22,[24][25][26]29 In 30% (n=7) of children, the indication for initial VPS catheter insertion was hydrocephalus associated with NTD/developed after repair of NTDs.…”

Section: Summary Of Evidencementioning

confidence: 99%

“…The present manuscript is a systematic review of the literature of n=24 cases of trans-umbilical extrusion of the distal VPS catheter to highlight the demographics, clinical characteristics, surgical procedures offered for the management, and the outcome. [11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30]…”

mentioning

confidence: 99%

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Extrusion of the distal ventriculoperitoneal shunt catheter through the umbilicus: a systematic literature review from 1973 to 2021

Ghritlaharey

2021

Int Surg J

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Trans-umbilical extrusion of the distal ventriculoperitoneal shunt catheter is a rare complication of the VPS insertion. The objectives of this review were to analyze various variables like the age, sex, indication for VPS insertion, clinical presentation, the operative therapy offered for the management, and outcome of the cases published/managed for the trans-umbilical extrusion of the distal VPS shunt catheter. In 1973, the maiden case of trans-umbilical extrusion of the distal VPS catheter was published. Literature/case reports were retrieved from 1973 to October 31, 2021. A total of n=24 (12 males, 12 females) cases were recruited for this systematic review. All of them were children below the age of 13-years. In four-fifths (n=19) of children, the initial VPS catheter was inserted during the first 6-months of life. The median age of children at the time of diagnosis of the above-described VPS complication was 7.5 (42.21 SD) months, and it ranged from 2 months to 13 years of age. The median interval from the initial VPS insertion/last VPS revision to the diagnosis of complication was 4 (24.77 SD) months, and it ranged from 3 weeks to 8 years. The main complaint was the extrusion of the distal VPS catheter through the umbilicus. Surgical procedures performed for the management were (a) removal of the entire VPS catheter n=15, (b) removal of distal/part of distal VPS catheter n=5, and (C) others n=2. For VPS catheter revision; delayed re-VPS insertion was performed in n=10, immediate revision of the distal VPS catheter in n=3, and others. Three (12.5%) children died during the postoperative and follow-up period. The distal VPS catheter extrusion through the umbilicus is a rare complication of VPS insertion, and it occurred exclusively in children. In 70% (n=17) of children, it was documented ≤6 months afterward of the VPS insertion. Delayed re-VPS catheter insertion was preferred for 40% of the children for VPS revision procedures.

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