Our initial experience with ventriculo-epiplooic shunt in treatment of hydrocephalus in two centers

Abstract

VEp shunt is a new, safe and efficient surgical technique for the treatment of hydrocephalus. VEp shunt is indicated in patients with history of recurrent distal shunt failures, and in patients with history of open abdominal surgery and high risk for developing abdominal complications.

Current updates on idiopathic normal pressure hydrocephalus

“…Resistance to CSF outflow correlated significantly with improvement (P<0.05). [41] Other markers such as amplitude in CSF pulse pressure, the slope of the amplitude-pressure regression line, or elasticity did not show any correlation with outcome [41] A further differentiation into early stage and advanced stage was made by measuring the compliance [42] CSF LP shunt 55.1 [2] 2 VP shunt 43.2 [2] , 69.8 [46] , 95.2 [47] 3 VA shunt 30.2 [46] 4 Ventriculo-epiplooic shunt [48] 5 ETV 4.8 [46] LP -Lumboperitoneal; VP -Ventriculoperitoneal; VA -Ventriculoartrial; ETV -Endoscopic third ventriculostomy…”

“…[2] A modification of VP shunt by putting the peritoneal catheter in the space between two epiploic layers of the greater omentum in iNPH patients showed favorable outcome with no significant postoperative complications. [48]…”

“…[2] A modification of VP shunt by putting the peritoneal catheter in the space between two epiploic layers of the greater omentum in iNPH patients showed favorable outcome with no significant postoperative complications. [48] A systematic review done by Tudor et al found that there were no differences in the outcomes (cognition, balance, function, gait, and mobility) between ETV and standard practice (VP shunting using a nonprogrammable valve) for iNPH patients. [49] The effectiveness of LP shunt in NPH patients were studied by Bayar et al which found that headache was resolved in almost all patients at the 3 rd month, and gait disturbance, urinary incontinence, and cognitive functions were improved by 86%, 72%, and 65% of the patients at the end of the 1 st year after LP shunt surgery.…”

Management of ventriculo-gallbladder shunt in the presence of gallstones

“…Hydrocephalus is an impairment in cerebrospinal fluid (CSF) physiological dynamics, which can lead to multiple complications and neurological deficits. 1 During infancy and childhood, hydrocephalus is a prevalent health problem that is frequently encountered by paediatric neurosurgeons. 2 When stratified by age groups, the global prevalence of hydrocephalus is 88/100 000 in the paediatric population.…”