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Updated: Jul 5, 2026
14:59
Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
Published on: October 14, 2022
The ventriculoomental bursa shunt
Hamilton Matushita1, Daniel Cardeal, Fernando Campos Pinto
1Pediatric Neurosurgery, Department of Neurosurgery, University of São Paulo Medical School, Bairro Bela Vista, São Paulo, São Paulo, Brazil. neurosp@uol.com.br
Summary
Ventriculoomental bursa (VOB) shunting offers an effective alternative for cerebrospinal fluid (CSF) diversion when the peritoneum fails. This novel technique successfully managed hydrocephalus in patients with shunt malfunction.
Area of Science:
- Neurosurgery
- Pediatric Surgery
- Biomedical Engineering
Background:
- Hydrocephalus management often involves cerebrospinal fluid (CSF) shunting.
- Ventriculoperitoneal shunts can malfunction due to peritoneal absorption issues, infections, or blockages.
- Previous shunt revisions are common in complex pediatric hydrocephalus cases.
Purpose of the Study:
- To evaluate the efficacy of the omental bursa as a CSF receptacle.
- To establish ventriculoomental bursa (VOB) shunting as an alternative to traditional shunts.
- To address CSF absorption failure in the peritoneum.
Main Methods:
- Developed and applied the ventriculoomental bursa (VOB) shunting technique in three pediatric patients.
- Inserted the distal catheter into the omental bursa via the foramen of Winslow.
- Utilized a pediatric surgeon for the procedure.
Main Results:
- Successfully managed hydrocephalus in all three patients with VOB shunting.
- No shunt recurrences observed during a follow-up period of 12 to 28 months.
- Demonstrated the viability of the omental bursa for CSF absorption.
Conclusions:
- VOB shunting is a viable alternative when peritoneal CSF absorption capacity is compromised.
- This technique provides a potential solution for recurrent shunt failures.
- Further research may validate VOB shunting in broader hydrocephalus populations.
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