Ventriculo-ureteric shunts, the last resort in complicated shunt patients
| Autor: | S. Ganapathy, V. Subramaniam, S. Paruchuri |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Toxic megacolon Percutaneous medicine.medical_treatment lcsh:Surgery Peritonitis lcsh:RC346-429 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Abdomen medicine Ventriculo-Ureteric Shunts lcsh:Neurology. Diseases of the nervous system business.industry lcsh:RD1-811 Perioperative medicine.disease Surgery Hydrocephalus medicine.anatomical_structure Ventriculo-Peritoneal Shunts Nephrostomy Neurology (clinical) Neurosurgery Ureter business 030217 neurology & neurosurgery Shunt (electrical) |
| Zdroj: | Interdisciplinary Neurosurgery, Vol 22, Iss, Pp 100805-(2020) |
| ISSN: | 2214-7519 |
| DOI: | 10.1016/j.inat.2020.100805 |
| Popis: | Ventriculo-Ureteric Shunts (V-U Shunts) are the proverbial ‘Hail-Mary’ in the hydrocephalus Neurosurgeon’s arsenal. When all else fails, this innovative procedure can alleviate the suffering of hydrocephalus patients, whose abdomens are unsuitable for shunt placement. This surgery isn’t new, being discovered and modified almost a decade ago. The procedure done by us, utilized a percutaneous X-ray guided nephrostomy, which along with a subcutaneous tunneller allowed for an elegant and minimally invasive procedure. We present a case of recurrent shunt blocks and infections in a patient who developed toxic megacolon and severe peritonitis, thereby making his abdomen unsuitable for shunt placement. The patient was subjected to the V-U shunt. Although some perioperative problems occurred, long term follow up with a multidisciplinary approach lead to success with complete resolution of all symptoms. Along with this remarkable report, we present a review of recent literature, with reported complications and risks. |
| Databáze: | OpenAIRE |
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