Vp Shunt In Situ

A ventriculoperitoneal vp shunt is a medical device that relieves pressure on the brain caused by fluid accumulation.

Vp shunt in situ. Vp shunting is a surgical procedure that primarily treats a condition called. The type of shunt system is named by the inflow and outflow locations e g. Patient was managed with left sided vp shunt.

If the proximal catheter is in the ventricle and the distal catheter is in the peritoneal cavity it is called a ventriculo peritoneal vp shunt table 1. All the while the neonate did not show any signs of meningitis or peritonitis. Ventriculoperitoneal shunts consist of a valve and two tubes called catheters which drain the.

Specifically 4 patients 6 underwent solely lumbar drainage 28 patients 44 had solely evd placement and 2 patients 3 received both lumbar drain and evd. The abdominal distension was progressively increasing. A ventriculoperitoneal shunt drains excess brain fluid reducing brain pressure to a safe level.

After six months a vp shunt will not become infected unless intra abdominal sepsis occurs for example appendicitis diverticulitis or postgastrostomy feeding tube insertion. We wondered whether in a child with a vp shunt in situ with. A boy aged 8 years with a long term vp shunt presented to the emergency department with right iliac fossa pain nausea and vomiting.

Abdominal ultrasound showed likely appendicitis. Patient again presented with shunt extrusion through anus after 6 months. Ct head showed bilateral ventricles dilated with vp shunt in situ with small extra axial haemorrhage with air fluid levels fig.

On examination child was afebrile alert. A 2 year male operated for tuberculomeningitis tbm with hydrocephalus with right vp shunt in situ at 6 months of age presented with shunt malfunction. The current incidence of shunt infection in most neurosurgical units is about 5 8 but many units are now achieving better results as a result of preventative measures and protocols.