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- W2585804590 abstract "Placing a ventriculo-peritoneal shunt in children with hydrocephalus is the standard of care. Many of these children will require revision of this portion of the shunt for a variety of reasons. Previously, it was thought that in a child with multiple previous ventriculo-peritoneal shunt (VPS) revisions, laparoscopy was contraindicated. This study shows that laparoscopy can be used safely and effectively in children with multiple previous VPS surgeries. Laparoscopically assisted placement of the peritoneal portion of the ventriculo-peritoneal shunt with multiple previous VPS revisions was performed in 8 consecutive children (4 female) with ages ranging from 7 months to 18 years. All eight children had undergone more than two VPS operations. All shunts were placed in areas free of adhesions and flow was observed under direct visualization. All of the procedures were successful; none needed conversion to standard mini-laparotomy approach. Six of 8 patients required lysis of adhesions. Average length of hospital stay was 2.6 days, and no revisions of the abdominal portion of the VPS have been required so far. It is concluded that laparoscopic placement of the peritoneal portion of a VPS can be done safely and effectively in children with multiple VPS revisions due to improved visualization and placement of the shunt in a virgin area of the abdomen. Additionally, any known or unknown complications from previous VPS surgeries can be corrected. When combined with pain reduction shorter hospital stay and fewer immediate and future complications, this is the procedure of choice for patients requiring revision VPS surgeries in our hospital." @default.
- W2585804590 created "2017-02-10" @default.
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- W2585804590 date "2009-11-01" @default.
- W2585804590 modified "2023-09-25" @default.
- W2585804590 title "Abdomen" @default.
- W2585804590 doi "https://doi.org/10.1016/j.jpedsurg.2009.07.012" @default.
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