title: Ventriculoperitoneal Shunting Surgery with Open Distal Shunt Catheter Placement in the Treatment of Hydrocephalus.
abstract: Ventriculoperitoneal shunting (VPS) is a major therapy for hydrocephalus, but has a significant risk of device malfunctioning. In this study, we explored a novel distal shunt catheter placement method in VPS for the treatment of hydrocephalus. Five patients with different etiologies of hydrocephalus underwent VPS with open distant shunt catheter attached outside. We analyzed different variables (age, gender, medical history, clinical presentation, indication for surgery and surgical technique, postoperative complications) and occurrence of shunt failure and infection. All hydrocephalus patients who received the distal shunt catheter placed outside can undergo regular VPS again after the condition improves. The modified VPS in the treatment of hydrocephalus with the distal shunt catheter placed outside could potentially reduce the necessity of repeat surgery for addressing the complications caused by catheter obstruction and infections, reduce the chance of adhesions, and would be of benefit to those patients who need future revisions.
authors.affiliation: Department of Neurosurgery, The First Affiliated Hospital of Jilin University, Changchun, China.
authors.forename: Yang
authors.initials: Y
authors.lastname: Zhang
authors.affiliation: Department of Neurosurgery, The First Affiliated Hospital of Jilin University, Changchun, China.
authors.forename: Xiaobo
authors.initials: X
authors.lastname: Zhu
authors.affiliation: Department of Neurosurgery, The First Affiliated Hospital of Jilin University, Changchun, China.
authors.forename: Jinchuan
authors.initials: J
authors.lastname: Zhao
authors.affiliation: Department of Neurosurgery, The First Affiliated Hospital of Jilin University, Changchun, China.
authors.forename: Kun
authors.initials: K
authors.lastname: Hou
authors.affiliation: Department of Neurosurgery, The First Affiliated Hospital of Jilin University, Changchun, China.
authors.forename: Xianfeng
authors.initials: X
authors.lastname: Gao
authors.affiliation: Department of Neurosurgery, The First Affiliated Hospital of Jilin University, Changchun, China.
authors.forename: Yang
authors.initials: Y
authors.lastname: Sun
authors.affiliation: Department of Neurosurgery, The First Affiliated Hospital of Jilin University, Changchun, China.
authors.forename: Wei
authors.initials: W
authors.lastname: Wang
authors.affiliation: Department of Anesthesiology, The First Affiliated Hospital of Jilin University, No. 71 Xinmin Avenue, Changchun, 130021, Jilin, China. xnzjlu@163.com.
authors.forename: Xiaona
authors.initials: X
authors.lastname: Zhang
mesh_terms: D000293:Adolescent; D000328:Adult; D000783:Aneurysm / Q000150:complications; D057785:Catheters; D004322:Drainage; D005260:Female; D006470:Hemorrhage / Q000150:complications; D006801:Humans; D006849:Hydrocephalus / Q000134:cerebrospinal fluid / Q000209:etiology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D016896:Treatment Outcome
keywords: Hydrocephalus; Infection; Ventricular peritoneal shunt