title: Laparoscopic hysteropexy in a patient with spina bifida and ventriculoperitoneal shunt.
abstract: Laparoscopic repair of pelvic organ prolapse in patients with ventriculoperitoneal shunts has not been previously described. The optimum management of patients with ventriculoperitoneal shunts undergoing laparoscopy is uncertain. We describe the case of a 21-year-old female patient with spina bifida and ventriculoperitoneal shunt who underwent laparoscopic hysteropexy for severe pelvic organ prolapse. The implications of performing laparoscopy on patients with ventriculoperitoneal shunts are reviewed along with strategies to reduce potential intraoperative complications.
authors: Sisters of Charity Hospital, Department of Obstetrics and Gynecology, 2157 Main Street, Buffalo, New York 14214, USA. aghomi@yahoo.com
authors: Ali
authors: A
authors: Ghomi
authors: Reza
authors: R
authors: Askari
authors: Seshadri
authors: S
authors: Kasturi
authors: Samadh F
authors: SF
authors: Ravangard
mesh_terms: D000328:Adult; D015897:Comorbidity; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D007427:Intracranial Pressure; D010535:Laparoscopy; D011028:Pneumoperitoneum, Artificial / Q000379:methods; D012404:Round Ligament of Uterus / Q000601:surgery*; D016135:Spinal Dysraphism / Q000453:epidemiology* / Q000601:surgery; D013536:Suture Techniques; D014596:Uterine Prolapse / Q000453:epidemiology* / Q000601:surgery*; D017287:Ventriculoperitoneal Shunt