Vp Shunt Technique
This technique is described in more detail in the vp shunt chapter.
Vp shunt technique. Ventriculoperitoneal shunt introduction ventriculoperitoneal vp shunt insertion is an operation to place a catheter into a brain ventricle to drain cerebrospinal fluid csf from the ventricular system. For example it is frequently required after subarachnoid hemorrhage trauma or infection of the neurocranium or for congenital conditions 2. Intracranial catheter placement is performed in the same manner as vp shunt placement.
This fluid will then drain into the peritoneal space abdominal cavity. Usually vp shunts are placed to treat hydrocephalus hydro water. The proximal catheter and shunt system are placed and the distal catheter is passed subcutaneously to the incision on the chest.
Ventriculoperitoneal vp shunt is the standard therapy for hydrocephalus in the presence of an aqueductal stenosis or other passage obstacles in the csf pathway. Both open and laparoscopic techniques can be used effectively depending on the experience and preference of the general surgeon. In the present study we retrospectively reviewed our experience of the new two stage procedure with lp shunt implantation to assess the complications and.
It is an alternative to a ventriculoperitoneal shunt often considered a next most used alternative. Ventriculoatrial shunt placement is indicated for hydrocephalus which is among the most common conditions encountered in neurosurgical practice. Ventriculoperitoneal v p shunt insertion is by far the most common pediatric neurosurgical procedure.
Ventriculoperitoneal shunting vps remains one of the alternative choices for the surgical treatment of hydrocephalus. This technique is described in the vp shunt placement chapter. Ventriculopleural shunting is an alternative option for the diversion of csf and relief of hydrocephalus in this technique the distal catheter is placed in the pleural space.
Ventriculoperitoneal vp shunt placement is the most common treatment whereas lumboperitoneal lp shunts are less commonly used due to initial reports of very high rates of complications. Ventriculoatrial shunt placement enables cerebrospinal fluid csf to flow from the cerebral ventricular system to the atrium of the heart. The general surgeon chooses the abdominal approach.