Transumbilical approach for shunt insertion in the pediatric population: an improvement in cosmetic results
| 详细信息 | 推荐本文 | |
- 作者：Didier Scavarda ; J. Breaud ; M. Khalil ; A. Paz Paredes ; M. Takahashi ; V. Fouquet ; C. Louis-Borrione and G. Lena
- 关键词：Ventriculoperitoneal shunt ; Cosmetic incision ; Umbilical incision ; Hydrocephalus ; Minimally invasive neurosurgery ; Transumbilical approach
- 刊名：Child's Nervous System
- 出版时间：January 2005
- 出版年：2005
- 期刊代码：31_0256-7040
- 类别：med
- 卷：21
- 期：1
- 页码：39-43
- 数据来源：sp
摘要
Objective In spite of the recent interest in endoscopic third ventriculostomy, ventriculoperitoneal (VP) shunt is still the gold standard in treating non-obstructive hydrocephalus in children. The peritoneal cavity remains the optimal site for cerebrospinal fluid (CSF) diversion. Shunt insertion and re-interventions carry a high risk of inaesthetic abdominal scars and long-term morbidity. We report a technique of transumbilical shunt insertion, which provides better cosmetic results and without many more complications. This approach has been performed for a long period in a wide variety of intra-abdominal conditions by pediatric surgeons.