Safety of laparoscopy in ventriculoperitoneal shunt patients

Sankpal, Rajendra; Chandavarkar, Abhishek; Chandavarkar, Madhura

doi:10.4103/0974-1216.114082

Cited by 12 publications

(8 citation statements)

References 10 publications

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“…Patients with CP have a higher incidence of ventriculoperitoneal shunts (VPS), and surgeons may find such shunts as a contraindication for laparoscopy due to the risk of raised intracranial pressure, infection, or obstruction. However, there are good data in the literature that laparoscopy is safe in VPS [Sankpal et al, 2011]. In children, data are limited due to the relative lack of long-term follow-up to document shunt function over time after abdominal procedures.…”

Section: Role Of Laparoscopy In the Management Of Udt In Cpmentioning

confidence: 99%

Optimal Management of Undescended Testis in Boys with Cerebral Palsy. A Debate

Springer

2019

Sex Dev

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Cerebral palsy is a rare condition following injury of the developing brain and including nonprogressive neurological disorders, spasticity, intellectual impairment and others. Boys with cerebral palsy have a high incidence of undescended testis. Although the motives for treatment (infertility, cancer prevention, psychological aspects, testicular torsion) are not different in boys without neurological impairment, the decision-making process in boys with cerebral palsy is very difficult. Besides medical and surgical arguments the discussion involves challenging ethical issues.

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Section: Role Of Laparoscopy In the Management Of Udt In Cpmentioning

confidence: 99%

Optimal Management of Undescended Testis in Boys with Cerebral Palsy. A Debate

Springer

2019

Sex Dev

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“…Laparoscopic surgery in patients with VPS has been reported in cholecystectomy [3][4][5][6][7], salpingectomy [8], ileocecal resection [9], colectomy [2,10], gastrectomy [10], adrenal adenoma excision [11], stomas, cystoplasty, bladder neck reconstruction, testicular vessel clipping and fascial slinging [12].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Hysterectomy in a Patient with Ventriculo-Peritoneal Shunt after Multiple Cesarean Sections

H¹,

Mohamed²,

M³

et al. 2021

Ann Minim Invasive Surg

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Patients with ventriculo-peritoneal shunt (VPS) for hydrocephalus had an improved survival and are more encountered in need of abdominal surgery. Laparoscopic surgery has been reported safe for these patients, although infrequently. At least 3 types of complications had been recorded: shunt obstruction, infection, and vaginal migration. We report a case of middle-aged female with endometrial hyperplasia and VPS who has done laparoscopic hysterectomy safely. The authors encourage laparoscopic surgery in this subset of patients when indicated with some precautions, including minimal insufflation pressure, CO2 monitoring, minimal Trendelenburg, and vaginal stump closure.

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“…The pressure used for the pneumoperitoneum was between 8 mm Hg and 50 mm Hg, mostly 12 mm Hg. 1,2,8,10,17,[19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37]39,40 The following complications occurred: one case of massive subcutaneous emphysema, 11 cases of conversion to laparotomy due to extensive inflammation, gangrenous situation, 10,20 a large tumor, and adhesions. 21,36 One case of shunt failure directly after the operation, 24 eight cases of postoperative VP shunt removal or revision due to infection, 1,2,8,10 one case of multiple organ failure and death, 20 and one case of pneumocephalus.…”

Section: Reported Cases Complications and Technical Difficultiesmentioning

confidence: 99%

“…There were several cases without any safety precautions being described, 1,8,17,[20][21][22][23][24][25][26]32,34,37,39 but some surgeons used the following protecting techniques: clamping of the shunt intra-abdominally, 19,29,38 clamping of the shunt through a skin incision, 23 externalization of the shunt before insufflation 10,27,30 or intraoperatively because of the possibility of a peritonitis, 31 and packing of the shunt with a simple gauze, so that it is further away from the operative field. 10,27 Two cases were reported with patients who were diagnosed with cancer, where clamping 38 and intraoperative shunt externalization were the methods of choice.…”

Section: Monitoring Of the Icp Intraoperatively/protecting Techniquesmentioning

confidence: 99%

Laparoscopic Intervention after Ventriculoperitoneal Shunt: A Case Report, Systematic Review, and Recommendations

Rad¹,

Bogdanyova²,

Wilhelm³

et al. 2020

World Journal of Laparoscopic Surgery With DVD

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Background: In patients presenting pelvic pathology and a placed ventriculoperitoneal (VP) shunt, there is uncertainty regarding the decision whether to use laparoscopy. The aim of the article is to examine the available literature as well as sharing our own experiences operating on a patient with a VP shunt using laparoscopy. Materials and methods: We searched online libraries (PubMed, EMBASE, and Google Scholar) for all publications published between January 1975 and December 2018 on our topic. We performed a systematic review and shared our experience with laparoscopy in a patient with shunt and ovarian cancer. Results: The age of the patients ranged from 1 to 79 years. The operations were performed by the departments of general surgery, gynecology, and urology. The time from the shunt operation to laparoscopy ranged from 5 days to 28 years. In different articles, four important points were considered and discussed: the risk of a shunt infection or complication, technical difficulties carrying out laparoscopy in patients with a VP shunt, the necessity of routine monitoring of the intracranial pressure (ICP) intraoperatively, and perioperative strategies to avoid complications. Conclusion:It seems that a laparoscopic surgery in adults with a VP shunt appears to be a safe option. Based on the results of our case and the review of literature, we consider it necessary to have a neurosurgical consult performed prior to surgery, to have the procedure be carried out by an experienced surgeon, and to avoid complications by implementing recommended precautions.

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Safety of laparoscopy in ventriculoperitoneal shunt patients

Cited by 12 publications

References 10 publications

Optimal Management of Undescended Testis in Boys with Cerebral Palsy. A Debate

Optimal Management of Undescended Testis in Boys with Cerebral Palsy. A Debate

Laparoscopic Hysterectomy in a Patient with Ventriculo-Peritoneal Shunt after Multiple Cesarean Sections

Laparoscopic Intervention after Ventriculoperitoneal Shunt: A Case Report, Systematic Review, and Recommendations

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