Vp Shunt Laparoscopic Surgery

Ventriculoperitoneal shunt failure as a complication of laparoscopic surgery.

Vp shunt laparoscopic surgery. In patients presenting pelvic pathology and a placed. It is concluded that laparoscopic surgery may represent a potential danger in patients with pre existing csf shunts. We describe a minimally invasive laparoscopic technique.

Patients with ventriculoperitoneal shunts vps are at risk of associated complications during laparoscopic surgery. In all patients the peritoneal cavity was free of adhesions. The authors state that 120 adult patients were randomized to undergo a laparoscopic procedure or mini laparotomy for insertion of a peritoneal catheter during initial or revised vp.

A ventriculoperitoneal vp shunt is a medical device that relieves pressure on the brain caused by fluid accumulation. In another study the presence of vp shunt did not pose an increased risk for postoperative complications in patients undergoing gastrectomy or colectomy. A case report systematic review and recommendations background.

Three patients with a vps who underwent laparoscopic cholecystectomy are presented. However reports on laparoscopic surgery in patients with lp shunt are fewer than those on surgery in patients with vp shunt 1 7 10 11. Request pdf laparoscopic intervention after ventriculoperitoneal shunt.

A laparoscopic approach has multiple advantages over open techniques including decreased morbidity more rapid recovery and ability to visually assess catheter function. Laparoscopy colorectal surgery ventriculoperitoneal shunt adverse effects introduction ventriculoperitoneal vp shunt as a means of cerebrospinal fluid csf diversion is the standard therapy for hydrocephalus in the presence of an aqueduct stenosis or other passage obstacles in the csf pathway. Although these cases are rare the surgeon should be aware of the pathophysiology of such complications in order to recognize and avoid them.

We have utilized laparoscopy for cholecystectomy in four patients with vp shunts. Minimally invasive approaches for the initial placement of ventriculoperitoneal vp and lumboperitoneal lp shunts have been well described. Increased intracranial pressure is often relieved by a ventriculoperitoneal shunt.