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Related Experiment Videos

New lumboperitoneal shunt for communicating hydrocephalus; technical note.

H J Hoffman, E B Hendrick, R P Humphreys

    Journal of Neurosurgery
    |February 1, 1976
    PubMed
    Summary

    A novel T-tube Silastic shunt for hydrocephalus shows promise. This device, used in 62 patients, avoided complications like arachnoiditis and demonstrated high success rates in lumboperitoneal shunting procedures.

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    Area of Science:

    • Neurosurgery
    • Medical Devices
    • Neurology

    Background:

    • Communicating hydrocephalus presents significant management challenges.
    • Previous lumboperitoneal shunts using polyethylene tubing have been associated with complications such as arachnoiditis.
    • Effective and safe shunting devices are crucial for managing cerebrospinal fluid (CSF) dynamics.

    Purpose of the Study:

    • To evaluate the efficacy and safety of a T-tube Silastic shunting device for lumboperitoneal shunting.
    • To assess the incidence of complications, specifically arachnoiditis, associated with the T-tube Silastic shunt.
    • To determine the long-term success rate and need for revisions in patients undergoing lumboperitoneal shunting with this device.

    Main Methods:

    • A retrospective analysis of 62 patients undergoing lumboperitoneal shunting with a T-tube Silastic device over three years.

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  • Categorization of patients into primary shunting procedures (38 patients) and those with prior shunt complications (24 patients).
  • Monitoring for complications, particularly arachnoiditis, and tracking the need for operative revisions and overall patient outcomes.

    • Main Results:

    • The T-tube Silastic shunt did not induce arachnoiditis when used as a primary procedure.
    • No operative revisions were required in 61% of the patients.
    • A significant majority (81%) of patients experienced positive outcomes with the T-tube type shunt.

    Conclusions:

    • The T-tube Silastic shunting device is a safe and effective option for lumboperitoneal shunting in communicating hydrocephalus.
    • This device offers a reduced risk of arachnoiditis compared to previous polyethylene shunts.
    • High rates of success and low revision requirements suggest the T-tube Silastic shunt is a reliable long-term solution.