CSF-diverting shunts: Implications for abdominal and pelvic surgeons; a review and pragmatic overview
| Autor: | AK Toma, Samir A Matloob, Claudia Craven, Simon D Thompson, Laurence D Watkins, Aimee Goel |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Pelvic surgery business.industry General surgery Neurosurgery Abdominal surgery Retrospective cohort study General Medicine Review Article medicine.disease Key issues Shunt Optimal management Hydrocephalus 03 medical and health sciences 0302 clinical medicine 030220 oncology & carcinogenesis medicine 030211 gastroenterology & hepatology Surgery CSF-Diverting shunt business |
| Zdroj: | Annals of Medicine and Surgery |
| ISSN: | 2049-0801 |
| Popis: | The optimal management of patients with ventriculoperitoneal or lumboperitoneal shunts undergoing abdominal or pelvic surgery for unrelated reasons is often unclear due to the paucity of guidelines in this field. In this review, we outline key issues in managing these patients. Specifically, we address issues relating to pre-operative planning, avoidance of shunt-related complications such as infection and malfunction, and specific management of neurological symptoms in the post-operative period. A retrospective study was carried out analysing correspondence between general surgeons and a specialist hydrocephalus unit over a 4-year period relating to management of patients with ventriculoperitoneal and lumboperitoneal shunts undergoing abdominal or pelvic surgery. A literature review was carried out to identify available evidence in this field. 30 queries from general surgeons were identified comprising 12 main themes. 16 relevant publications were identified. We summarised these to answer these queries. The management of shunted patients may present challenges and uncertainties in an abdominal or pelvic surgery setting. This paper provides guidelines and clarity in this field by discussing and summarising reported data in the literature. Highlights • The optimal management of VP or LP shunted patients undergoing abdomen/pelvic surgery is unclear. • We provide guidelines for surgeons in this field by summarising the reported data. • We cover pre-operative, peri-operative and post-operative considerations in these patients. |
| Databáze: | OpenAIRE |
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