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Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus

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Published on: October 14, 2022

Shunt conversion before bladder augmentation can prevent shunt infection.

Yutaka Hayashi¹, Tadaharu Okazaki, Hiroyuki Kobayashi

¹Department of Paediatric General and Urogenital Surgery, Juntendo University School of Medicine, Tokyo, Japan.

Asian Journal of Surgery

|November 18, 2008

Summary

This summary is machine-generated.

Converting ventriculoperitoneal (VP) shunts to ventriculopleural (VL) shunts before intestinal cystoplasty (CP) in neurogenic bladder (NB) patients appears to prevent shunt infections (SIs). This strategy was evaluated in 34 NB patients undergoing CP.

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Evaluation of Biomaterials for Bladder Augmentation using Cystometric Analyses in Various Rodent Models

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Published on: August 9, 2012

Area of Science:

Urology
Neurosurgery
Pediatric Surgery

Background:

Neurogenic bladder (NB) often requires surgical intervention, including intestinal cystoplasty (CP).
Patients with NB frequently have hydrocephalus requiring shunts, such as ventriculoperitoneal (VP) shunts.
Shunt infections (SIs) are a potential complication following CP, especially with VP shunts.

Purpose of the Study:

To evaluate the efficacy of converting VP shunts to ventriculopleural (VL) shunts in preventing SIs prior to intestinal CP in patients with NB.
To report the experience and outcomes of this shunt conversion strategy.

Main Methods:

A retrospective review of 34 patients with NB who underwent intestinal CP between 1984 and 2005.
All patients had their VP shunts converted to VL shunts before undergoing intestinal CP.
Shunt infection (SI) was defined as infection within 30 days of intestinal CP.

Main Results:

No shunt infections (SIs) were reported in the 34 patients following the conversion strategy.
Pleural effusion (PE) occurred in 41% (13/34) of patients post-conversion, with most managed non-surgically.
Literature review identified 7 SIs in 216 patients (3.2%) who underwent intestinal CP without this specific shunt modification.

Conclusions:

Conversion of VP shunts to VL shunts before intestinal CP is a recommended strategy to prevent SIs in NB patients.
This approach appears effective in reducing the incidence of shunt infections associated with intestinal cystoplasty.