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Updated: Aug 23, 2026
Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
Published on: October 14, 2022
Lumboperitoneal shunts: review of 409 cases
Y R Yadav1, Sanjay Pande, Vijay K Raina
1Department of Surgery, Netaji Subhash Chandra Bose Medical College, Jabalpur, India. yadavyr@yahoo.co.in
Background And Aims:
A prospective study was carried out to evaluate the lumboperitoneal shunt procedure.
Material And Methods:
Four hundred and nine patients having communicating hydrocephalus were selected for the procedure during a 10-year period from March 1992 to February 2002. The average follow-up was 45.34 months.
Results:
Tubercular meningitis (TBM)-related hydrocephalus was detected in 285 patients. Forty per cent of the patients were less than 15 years of age. Glasgow Coma Scale (GCS) of less than 8 was seen in 40% patients and 14.9% patients were in GCS 13-15. At the time of discharge 56.7% patients improved in their GCS to 13 -15 and 14.9% were in GCS 8 or less. The overall mortality was 5.13% and shunt-related mortality was seen in 2% patients. Shunt malfunction requiring revision was seen in 32 patients (7.8%) and the total number of shunt revisions was 44 (11%). Shunt infection was noted in 3.4% patients. CSF leak at the lumbar end occurred in 12 patients. Four patients required conversion of LP shunt to VP shunt.
Conclusions:
Lumboperitoneal shunt is an effective shunting procedure in communicating hydrocephalus.
