The Safety of Laparoscopy in Pediatric Patients with Ventriculoperitoneal Shunts

Fraser, Jason D.; Aguayo, Pablo; Sharp, Susan W.; Holcomb, George; Ostlie, Daniel J.; Peter, Shawn D. St.

doi:10.1089/lap.2009.0116

Cited by 36 publications

(21 citation statements)

References 19 publications

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“…In children, data are limited due to the relative lack of long-term follow-up to document shunt function over time after abdominal procedures. In an American study, 99 intra-abdominal operations were reviewed with no VPS-related complications [Fraser et al, 2009]. Another study of 19 pediatric urological laparoscopies showed no shunt-related problems as well.…”

Section: Role Of Laparoscopy In the Management Of Udt In Cpmentioning

confidence: 99%

Optimal Management of Undescended Testis in Boys with Cerebral Palsy. A Debate

Springer

2019

Sex Dev

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Cerebral palsy is a rare condition following injury of the developing brain and including nonprogressive neurological disorders, spasticity, intellectual impairment and others. Boys with cerebral palsy have a high incidence of undescended testis. Although the motives for treatment (infertility, cancer prevention, psychological aspects, testicular torsion) are not different in boys without neurological impairment, the decision-making process in boys with cerebral palsy is very difficult. Besides medical and surgical arguments the discussion involves challenging ethical issues.

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Section: Role Of Laparoscopy In the Management Of Udt In Cpmentioning

confidence: 99%

Optimal Management of Undescended Testis in Boys with Cerebral Palsy. A Debate

Springer

2019

Sex Dev

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“…Laparotomy has been the gold standard for dealing with abdominal complications of a VP shunt, but it requires a large incision and has a high risk of adhesions as late consequences. Recent successful results of minimally invasive surgery in children with a VP shunt prompted us to consider this approach in this case . Laparoscopy is superior to laparotomy because it enables the removal of the VPSC under direct visual guidance, and it also allows for the inspection of the entire peritoneal cavity and treatment of any secondary VPSC pathology.…”

Section: Discussionmentioning

confidence: 99%

Laparoendoscopic removal of peroral extrusion of a ventriculoperitoneal shunt

Mandhan

Wong

Samarakkody

2015

Asian J Endoscop Surgery

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Peroral extrusion of a ventriculoperitoneal shunt tube occurs secondary to perforation of the upper GI tract. Managing this condition involves removing the shunt tube, attention to the perforated viscus and associated infection. A combination of endoscopy and laparoscopy provided superior views, enabled identification of the site and size of the perforated viscus, and facilitated the uneventful removal of the tube.

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“…found no episodes of air embolism one shunt infection in a study conducted over 51 laparoscopy procedures in patients with VP shunts. [ 8 ] Neale et al . studied an in vitro model with nine shunts subjected to increased back pressure and none of the valves showed any signs of leak associated with the increased back pressure.…”

Section: Discussionmentioning

confidence: 99%

Safety of laparoscopy in ventriculoperitoneal shunt patients

Sankpal

Chandavarkar²,

Chandavarkar³

2011

J Gynec Endosc Surg

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There has been an increasing trend in Laparoscopic surgeries. There is also a higher incidence of patients with ventriculoperitoneal (VP) shunts due to the advances in the techniques of cerebral shunts. Surgeons may come across patients of VP shunts presenting with an indication for laparoscopic surgery. Although there is no absolute contraindication for laparoscopy in VP shunts, there is always a risk of raised intracranial pressure. We describe a case of VP shunt presenting with an ectopic pregnancy and undergoing laparoscopic salpingectomy. Patient withstood the procedure well and had an uneventful recovery. Reviewing the literature, we found that laparoscopy is safe in VP shunts. However, there should always be accompanied by good monitoring facilities.

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The Safety of Laparoscopy in Pediatric Patients with Ventriculoperitoneal Shunts

Abstract: Our data suggest that laparoscopy is safe in patients with ventriculoperitoneal shunts.

Cited by 36 publications

References 19 publications

Optimal Management of Undescended Testis in Boys with Cerebral Palsy. A Debate

Optimal Management of Undescended Testis in Boys with Cerebral Palsy. A Debate

Laparoendoscopic removal of peroral extrusion of a ventriculoperitoneal shunt

Safety of laparoscopy in ventriculoperitoneal shunt patients

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