Inguinal Herniation with Glial Implants: Possible Complication of Ventriculoperitoneal Shunting
| Autor: | G. K. Blair, Paul Steinbok, N. E. Barker, J. F. Magee |
|---|---|
| Rok vydání: | 1996 |
| Předmět: |
Surgical repair
medicine.medical_specialty Glial fibrillary acidic protein biology business.industry medicine.medical_treatment General Medicine Hernia repair medicine.disease Pathology and Forensic Medicine Hydrocephalus Surgery Shunt (medical) Inguinal hernia Pediatrics Perinatology and Child Health Hydrocele medicine biology.protein Complication business |
| Zdroj: | Pediatric Pathology & Laboratory Medicine. 16:591-596 |
| ISSN: | 1077-1042 1983-1994 |
| DOI: | 10.1080/15513819609168695 |
| Popis: | The standard treatment of hydrocephalus is the insertion of a valve-regulated ventriculoperitoneal (VP) shunt, which may result in the development or clinical worsening of an inguinal hernia or hydrocele. A review of the British Columbia's Children's Hospital experience with VP shunt insertion (1983-1994) identified 304 patients who underwent VP shunt placement, 31 of whom subsequently required herniorrhaphy, 5 suffering recurrences. Two cases exhibited areas of glial differentiation (diffusely scattered in one sac from a bilateral repair, focally present in the second unilateral hernia repair) displaying cytoplasmic staining with glial fibrillary acidic protein and S100. At time of surgical repair of case 1 (bilateral hernia repair), the tip of the VP shunt was detected within the hernia sac exhibiting glial differentiation; no glial tissue was identified in the sac from the other side. We conclude that inguinal herniation is a common complication of VP shunt insertion, and the identification of glial ti... |
| Databáze: | OpenAIRE |
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