Introduction And Importance: It has been more than century since the establishment of relationship between the intracranial pressure (ICP) and intraabdominal pressure (IAP) was suspected and confirmed backed up by several studies. The studies clearly demonstrate a link and the positive correlation between the two.
Case Summary: 18 years old lady with previous history of ventricular peritoneal shunt during 6 months of age was planned for laparoscopic cholecystectomy. Intraoperatively free flow of CSF was observed without any intraoperative and post-operative complications.
Discussion: Pneumoperitoneum created during laparoscopic procedures may lead to the rise in ICP and thus, lead to serious consequences. This has been of a growing concern in a patient with Ventriculo Peritoneal Shunt (VP Shunt) in situ. The uncertainty regarding the safety of laparoscopic procedures in VP shunted patients thus, has been a subject of debate over the years.
Conclusion: Our aim therefore is to depict similar case we encountered in our department and based on it, we reviewed the literature in the quest of determining the safety of Laparoscopic procedure in patients with VP shunt.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11424804 | PMC |
| http://dx.doi.org/10.1016/j.ijscr.2024.110304 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Current Trends in the Treatment of Pediatric Hydrocephalus: A Narrative Review Centered on the Indications, Safety, Efficacy, and Long-Term Outcomes of Available Treatment Modalities.
Children (Basel)
October 2024
Neurosurgical Department, General Hospital of Athens 'Gennimatas', 10676 Athens, Greece.
Article Synopsis
- The pathophysiology of pediatric hydrocephalus remains unclear, and valve-based shunt systems have been the primary treatment option since the 1950s, transitioning from ventricular-atrial systems to peritoneal systems in the 1970s.
- The review highlights the comparison of valve types and emphasizes endoscopic third ventriculostomy (ETV) as the only surgical alternative today, which offers lower infection and re-operation rates, especially for children with previous shunt failures.
- It also identifies key predictive factors for ETV success and attempts to determine optimal treatment strategies for different patient subgroups, aiming to improve long-term outcomes for pediatric hydrocephalus patients.
Idiopathic normal pressure hydrocephalus: survey on current diagnostic and therapeutic procedures in clinical practice in Germany.
Acta Neurochir (Wien)
November 2024
Department of Neurosurgery Hannover Medical School, MHH, Carl-Neuberg-Str. 1, 30625, Hannover, Germany.
Objective: Cerebrospinal fluid (CSF) shunting has become the standard treatment for idiopathic normal pressure hydrocephalus (NPH). Nevertheless, there is still disagreement on diagnostic criteria for selecting patients for surgery and optimal shunt management. The primary aim of the present study was to provide an update on the status of best practice, the use of different diagnostic algorithms and therapeutic management of idiopathic NPH in an European country.
View Article and Find Full Text PDFIncidence of Subdural Hygroma on Routine Early Postoperative Imaging Following Foramen Magnum Decompression for Chiari Malformation Type 1 in 156 Patients.
World Neurosurg
December 2024
Department of Neurological Sciences, Christian Medical College, Vellore, India. Electronic address:
Objective: To determine the incidence of subdural hygroma (SDH) on routine early postoperative imaging following foramen magnum decompression (FMD) with dural opening in patients with Chiari 1 malformation (CM1).
Methods: Clinical and radiological data of 156 consecutive patients with CM1 who underwent FMD (2006-2023) were retrospectively analyzed. Computed tomography scans done on the seventh postoperative day or earlier were reviewed for the presence of SDH (infra-and supratentorial) and ventriculomegaly.
Non-secreting IL12 expressing oncolytic adenovirus Ad-TD-nsIL12 in recurrent high-grade glioma: a phase I trial.
Nat Commun
November 2024
Department of Neurosurgery, Sanbo Brain Hospital, Capital Medical University, Beijing, China.
Malignant glioma is a highly fatal central nervous system malignancy with high recurrence rates. Oncolytic viruses offer potential treatment but need improvement in efficacy and safety. Here we describe a phase I, dose-escalating, single arm trial (ChiCTR2000032402) to study the safety of Ad-TD-nsIL12, an oncolytic adenovirus expressing non-secreting interleukin-12, in patients with recurrent high-grade glioma that connects with the ventricular system.
View Article and Find Full Text PDFThe Ratio of Baseline Ventricle Volume to Total Brain Volume Predicts Postoperative Ventriculo-Peritoneal Shunt Dependency after Sporadic Vestibular Schwannoma Surgery.
J Clin Med
September 2024
Department of Neurosurgery, University Hospital Leipzig, 04275 Leipzig, Germany.
Article Synopsis
- Obstructive hydrocephalus (HCP) related to vestibular schwannoma (VS), particularly in larger tumors, often requires patients to undergo ventriculo-peritoneal (VP) surgery even after the tumor is removed; this study investigates why some patients still need VP surgery post-surgery.
- Using advanced MRI techniques, the research assessed brain volumes and found that a specific brain ventricle to total brain volume (VTB) ratio can help predict whether patients will need a VP shunt after surgery, with a sensitivity of 67% and specificity of 81% based on optimal threshold values.
- Key factors associated with dependency on VP shunts include having a higher preoperative
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!