Transumbilical approach for ventriculoperitoneal shunt placement in infants and small children: A 6-year experience

R. Shane Tubbs, Lilian C. Azih, Martin M. Mortazavi, Joshua J. Chern, Todd Hankinson, W. Jerry Oakes, Aaron Cohen-Gadol

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Introduction: Improved cosmesis has been demonstrated using a transumbilical incision for placement of the peritoneal end of a ventriculoperitoneal shunt. We now present our experience with this technique. Patients and methods: From January 2005 until present, a prospective cohort of 25 children underwent placement of a ventriculoperitoneal shunt with the peritoneal shunt catheter being introduced into the peritoneum via an incision into the umbilicus. There were 17 boys and 8 girls. The age range at insertion was 6 days to 5 years (mean 1.2 years). Results: The mean follow-up for this group was 3.2 years (range 2 months to 6 years). Of all patients, only one complication (4%) has occurred, although this did not lead to long-term issues. The infection rate for this small group was 0%. Conclusions: Placement of the peritoneal end of a ventriculoperitoneal shunt via an umbilical incision is effective, cosmetically appealing, and not more prone to complications than other standard incisions used on the anterior abdominal wall. Additionally, and based on our experience, this approach is quicker and almost bloodless with no long-term complications.

Original languageEnglish
Pages (from-to)217-219
Number of pages3
JournalChild's Nervous System
Volume28
Issue number2
DOIs
StatePublished - Feb 2012

Fingerprint

Ventriculoperitoneal Shunt
Umbilicus
Peritoneum
Abdominal Wall
Catheters
Infection

Keywords

  • Hydrocephalus
  • Pediatric neurosurgery
  • Shunt
  • Treatment
  • Umbilicus

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Clinical Neurology

Cite this

Transumbilical approach for ventriculoperitoneal shunt placement in infants and small children : A 6-year experience. / Tubbs, R. Shane; Azih, Lilian C.; Mortazavi, Martin M.; Chern, Joshua J.; Hankinson, Todd; Oakes, W. Jerry; Cohen-Gadol, Aaron.

In: Child's Nervous System, Vol. 28, No. 2, 02.2012, p. 217-219.

Research output: Contribution to journalArticle

Tubbs, R. Shane ; Azih, Lilian C. ; Mortazavi, Martin M. ; Chern, Joshua J. ; Hankinson, Todd ; Oakes, W. Jerry ; Cohen-Gadol, Aaron. / Transumbilical approach for ventriculoperitoneal shunt placement in infants and small children : A 6-year experience. In: Child's Nervous System. 2012 ; Vol. 28, No. 2. pp. 217-219.
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