Distal revision of ventriculoperitoneal shunts using a peel-away sheath.
The authors describe a new technique for revision of an occluded distal ventriculoperitoneal shunt catheter that obviates the need for laparotomy or trocar insertion into the peritoneal cavity. The authors review their early experience with 34 patients suffering from a distal ventriculoperitoneal shunt failure and treated with this technique. There were no incidents of intraabdominal injury or wound complications. In 2 patients conversion to a minilaparotomy was required for safe placement of the shunt. Proper peritoneal placement was confirmed with abdominal radiographs in all cases. This technique has been safe and effective and may be considered an alternative to traditional laparotomy or laparoscopic methods.
Section of Pediatric Neurosurgery, Children's Hospital, University of Alabama, Birmingham, Alabama, USA.
R Shane
RS
Tubbs
Cormac O
CO
Maher
Ronald L
RL
Young
Aaron A
AA
Cohen-Gadol
D000293:Adolescent; D000328:Adult; D002648:Child; D020878:Device Removal / Q000295:instrumentation* / Q000379:methods*; D004867:Equipment Design; D004868:Equipment Failure; D005260:Female; D006801:Humans; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000295:instrumentation / Q000379:methods; D012086:Reoperation; D017287:Ventriculoperitoneal Shunt / Q000295:instrumentation* / Q000379:methods*; D055815:Young Adult