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Case Reports
. 2011 Jul-Dec;2(2):91-3.
doi: 10.4103/0974-1216.114082.

Safety of Laparoscopy in Ventriculoperitoneal Shunt Patients

Affiliations
Case Reports

Safety of Laparoscopy in Ventriculoperitoneal Shunt Patients

Rajendra Sankpal et al. J Gynecol Endosc Surg. 2011 Jul-Dec.

Abstract

There has been an increasing trend in Laparoscopic surgeries. There is also a higher incidence of patients with ventriculoperitoneal (VP) shunts due to the advances in the techniques of cerebral shunts. Surgeons may come across patients of VP shunts presenting with an indication for laparoscopic surgery. Although there is no absolute contraindication for laparoscopy in VP shunts, there is always a risk of raised intracranial pressure. We describe a case of VP shunt presenting with an ectopic pregnancy and undergoing laparoscopic salpingectomy. Patient withstood the procedure well and had an uneventful recovery. Reviewing the literature, we found that laparoscopy is safe in VP shunts. However, there should always be accompanied by good monitoring facilities.

Keywords: Intracranial pressure; Laparoscopy; Safety; Ventriculoperitoneal shunts.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Ventriculo-peritoneal shunt – Peritoneal Cavity End
Figure 2
Figure 2
Ventriculo-peritoneal shunt – Coiled up
Figure 3
Figure 3
Ventriculo-peritoneal shunt – Entering the Peritoneum

References

    1. Uzzo RG, Bilsky M, Mininberg DT, Poppas DP. Laparoscopic surgery in children with ventriculoperitoneal shunts: Effect of pneumoperitoneum on intracranial pressure - Preliminary experience. Urology. 1997;49:753–7. - PubMed
    1. Halverson A, Buchanan R, Jacobs L, Shayani V, Hunt T, Riedel C, et al. Evaluation of mechanism of increased intracranial pressure with insufflation. Surg Endosc. 1998;12:266–9. - PubMed
    1. Kimura T, Nakajima K, Wasa M, Yagi M, Kawahara H, Soh H, et al. Successful laparoscopic fundoplication in children with ventriculoperitoneal shunts. Surg Endosc. 2002;16:215. - PubMed
    1. Rosenthal RJ, Hiatt JR, Phillips EH, Hewitt W, Demetriou AA, Grode M. Intracranial pressure. Effects of pneumoperitoneum in a large-animal model. Surg Endosc. 1997;11:376–80. - PubMed
    1. Moncure M, Salem R, Moncure K, Testaiuti M, Marburger R, Ye X, et al. Central nervous system metabolic and physiologic effects of laparoscopy. Am Surg. 1999;65:168–72. - PubMed

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