Laparoscopic surgery in a patient with ventriculoperitoneal shunt: monitoring of shunt function with transcranial Doppler.
We describe the use of transcranial Doppler (TCD) monitoring during laparoscopic resection of an ovarian cyst in a young woman who previously underwent ventriculoperitoneal shunting for hydrocephalus. Shunt function was not altered by pneumoperitoneum, except during transient episodes of high intra-abdominal pressure. The role of TCD monitoring during laparoscopic procedures in patients with cerebrospinal fluid shunt is discussed.
Ravaoherisoa
J
J
Department of Anaesthesiology, Hôpital Notre Dame de Bon Secours, Paris, France.
Meyer
P
P
Afriat
R
R
Meyer
Y
Y
Sauvanet
E
E
Tricot
A
A
Carli
P
P
D000328:Adult; D005260:Female; D006801:Humans; D010535:Laparoscopy; D016343:Monitoring, Intraoperative / Q000379:methods*; D010048:Ovarian Cysts / Q000601:surgery; D017585:Ultrasonography, Doppler, Transcranial; D017287:Ventriculoperitoneal Shunt