A novel technique for ventriculovesical shunting of congenital hydrocephalus.
| Autor: | Ames CD; Department of Urology, University of Virginia, Charlottesville, Virginia 22903, USA., Jane JA Jr, Jane JA Sr, Campbell FG, Howards SS |
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| Jazyk: | angličtina |
| Zdroj: | The Journal of urology [J Urol] 2001 Apr; Vol. 165 (4), pp. 1169-71. |
| Abstrakt: | Purpose: Hydrocephalus is typically treated with a ventriculoperitoneal or ventriculoatrial shunt. However, shunt malfunction, recurrent infection or other co-morbidities occasionally make these shunts inappropriate. As early as 1925 a ureterodural anastomosis was used to divert cerebrospinal fluid into the urinary system. Since then techniques for cerebrospinal fluid urinary diversion have improved. We designed a new technique to drain cerebrospinal fluid into the urinary system surgically while averting some of the problems encountered with previous methods. Materials and Methods: We describe a new technique to perform a ventriculovesicular shunt, which we performed on a 17-year-old woman with congenital hydrocephalus. To put this unique operation into perspective we briefly review the history of cerebrospinal fluid urinary shunting. Results: Our results were promising, with no evidence of distal shunt malfunction or infection postoperatively. Conclusions: Our novel technique of a ventriculovesical shunt with a polyester cuff that provides stabilization and infection control holds promise for patients with hydrocephalus who are not candidates for a ventriculoperitoneal or ventriculoatrial shunt. |
| Databáze: | MEDLINE |
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