Vp Shunt Externalization

A ventriculoperitoneal shunt vps is the most common type of implanted cerebrospinal fluid shunt system.

Vp shunt externalization. The anesthetic plan was local anesthesia with midazolam sedation. With an external shunt one 1 end of the tube goes through a small cut in the skin. A ventriculo peritoneal shunt which drains csf from the brain to another area of the body and an external shunt which drains csf outside the body.

When i look up a vp shunt i get 86 09. This just doesn t seem to adequately describe what was done. Neurosurgical consultation was obtained with the subsequent recommendation that the vp shunt be externalized at the beginning of the case to minimize the risk of shunt obstruction or increased intracranial pressure icp during laparoscopic radical prostatectomy lrp in the steep trendelenburg position.

Quick bedside procedure that can be done in potentially unstable patient. Then the tube carries fluid into a bag or other system. Department for ventriculoperitoneal shunt externalization and icp management.

Externalization a 12 year old boy presented with spontaneous externalization of the ventriculoperitoneal shunt vps through the navel. Two weeks before he noticed a pimple in the same area but he had no accompanying complaints. Consider bedside shunt externalization if patient is unstable for immediate or transfer or if needed as a temporizing measure while awaiting or availability.

Unfortunately complications related to vps placement are common and multiple shunt revisions are almost expected throughout a patient s lifetime. The authors describe spontaneous externalization of a ventriculo peritoneal shunt through the navel. Ventriculoperitoneal shunt vps placement is one of the most commonly performed neurosurgical procedures and is necessary to treat most forms of hydrocephalus.

After an uneventful intraoperative period child was completely awake when he was transported to recovery area. Shunt was externalized and the drainage was stopped in the operation. The patient had a known arterio.