Distal revision of ventriculoperitoneal shunts using a peel-away sheath: Technical note

R. Shane Tubbs, Cormac O. Maher, Ronald L. Young, Aaron Cohen-Gadol

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

The authors describe a new technique for revision of an occluded distal ventriculoperitoneal shunt catheter that obviates the need for laparotomy or trocar insertion into the peritoneal cavity. The authors review their early experience with 34 patients suffering from a distal ventriculoperitoneal shunt failure and treated with this technique. There were no incidents of intraabdominal injury or wound complications. In 2 patients conversion to a minilaparotomy was required for safe placement of the shunt. Proper peritoneal placement was confirmed with abdominal radiographs in all cases. This technique has been safe and effective and may be considered an alternative to traditional laparotomy or laparoscopic methods.

Original languageEnglish
Pages (from-to)402-405
Number of pages4
JournalJournal of Neurosurgery: Pediatrics
Volume4
Issue number4
DOIs
StatePublished - Oct 2009

Fingerprint

Ventriculoperitoneal Shunt
Laparotomy
Peritoneal Cavity
Surgical Instruments
Catheters
Wounds and Injuries

Keywords

  • Distal revision
  • Hydrocephalus
  • Laparotomy
  • Ventriculoperitoneal shunt

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery
  • Pediatrics, Perinatology, and Child Health

Cite this

Distal revision of ventriculoperitoneal shunts using a peel-away sheath : Technical note. / Tubbs, R. Shane; Maher, Cormac O.; Young, Ronald L.; Cohen-Gadol, Aaron.

In: Journal of Neurosurgery: Pediatrics, Vol. 4, No. 4, 10.2009, p. 402-405.

Research output: Contribution to journalArticle

Tubbs, R. Shane ; Maher, Cormac O. ; Young, Ronald L. ; Cohen-Gadol, Aaron. / Distal revision of ventriculoperitoneal shunts using a peel-away sheath : Technical note. In: Journal of Neurosurgery: Pediatrics. 2009 ; Vol. 4, No. 4. pp. 402-405.
@article{c29c07dcd9e14f508f97b7e5d61122dc,
title = "Distal revision of ventriculoperitoneal shunts using a peel-away sheath: Technical note",
abstract = "The authors describe a new technique for revision of an occluded distal ventriculoperitoneal shunt catheter that obviates the need for laparotomy or trocar insertion into the peritoneal cavity. The authors review their early experience with 34 patients suffering from a distal ventriculoperitoneal shunt failure and treated with this technique. There were no incidents of intraabdominal injury or wound complications. In 2 patients conversion to a minilaparotomy was required for safe placement of the shunt. Proper peritoneal placement was confirmed with abdominal radiographs in all cases. This technique has been safe and effective and may be considered an alternative to traditional laparotomy or laparoscopic methods.",
keywords = "Distal revision, Hydrocephalus, Laparotomy, Ventriculoperitoneal shunt",
author = "Tubbs, {R. Shane} and Maher, {Cormac O.} and Young, {Ronald L.} and Aaron Cohen-Gadol",
year = "2009",
month = "10",
doi = "10.3171/2009.5.PEDS09152",
language = "English",
volume = "4",
pages = "402--405",
journal = "Journal of Neurosurgery: Pediatrics",
issn = "1933-0707",
publisher = "American Association of Neurological Surgeons",
number = "4",

}

TY - JOUR

T1 - Distal revision of ventriculoperitoneal shunts using a peel-away sheath

T2 - Technical note

AU - Tubbs, R. Shane

AU - Maher, Cormac O.

AU - Young, Ronald L.

AU - Cohen-Gadol, Aaron

PY - 2009/10

Y1 - 2009/10

N2 - The authors describe a new technique for revision of an occluded distal ventriculoperitoneal shunt catheter that obviates the need for laparotomy or trocar insertion into the peritoneal cavity. The authors review their early experience with 34 patients suffering from a distal ventriculoperitoneal shunt failure and treated with this technique. There were no incidents of intraabdominal injury or wound complications. In 2 patients conversion to a minilaparotomy was required for safe placement of the shunt. Proper peritoneal placement was confirmed with abdominal radiographs in all cases. This technique has been safe and effective and may be considered an alternative to traditional laparotomy or laparoscopic methods.

AB - The authors describe a new technique for revision of an occluded distal ventriculoperitoneal shunt catheter that obviates the need for laparotomy or trocar insertion into the peritoneal cavity. The authors review their early experience with 34 patients suffering from a distal ventriculoperitoneal shunt failure and treated with this technique. There were no incidents of intraabdominal injury or wound complications. In 2 patients conversion to a minilaparotomy was required for safe placement of the shunt. Proper peritoneal placement was confirmed with abdominal radiographs in all cases. This technique has been safe and effective and may be considered an alternative to traditional laparotomy or laparoscopic methods.

KW - Distal revision

KW - Hydrocephalus

KW - Laparotomy

KW - Ventriculoperitoneal shunt

UR - http://www.scopus.com/inward/record.url?scp=70349664369&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=70349664369&partnerID=8YFLogxK

U2 - 10.3171/2009.5.PEDS09152

DO - 10.3171/2009.5.PEDS09152

M3 - Article

C2 - 19795975

AN - SCOPUS:70349664369

VL - 4

SP - 402

EP - 405

JO - Journal of Neurosurgery: Pediatrics

JF - Journal of Neurosurgery: Pediatrics

SN - 1933-0707

IS - 4

ER -