New Technique Seeking Prophylaxis in the Displacement of Distal Ventriculoperitoneal Shunt Catheter – Case Report

Brazilian Neurosurgery

article

João Victor Oliveira de Melo¹  Rebeca Brasil da Silva¹  Franklin Reis¹  Robson Luís Oliveira de Amorim¹ 

[1] Clinical Surgery Department, School of Medicine, Universidade Federal do Amazonas;Clinical Surgery Department;Division of Neurosurgery, Hospital das Clínicas, Universidade de São Paulo

关键词: ventriculoperitoneal shunt;    catheter displacement;    shunt complication;   

DOI  :  10.1055/s-0041-1740164

学科分类：社会科学、人文和艺术（综合）

来源: Thieme

【 摘 要 】

Idiopathic intracranial hypertension is a comorbidity treated in neurosurgical practice today with the ventriculoperitoneal derivation technique. However, despite its great safety and efficacy, this technique is susceptible to infrequent failures, such as displacement of the catheter leading to the need for reoperation. In the present article, we report a case involving a peritoneal catheter tip retropulsion for subcutaneous tissue in an obese patient with posterior correction using an extending connector to the distal catheter, without harming the drainage flow. In our case report, the patient went on without complications and without the occurrence of new displacement after 8 months of surgery. The results obtained by this technique supported the idea that this alternative construction minimizes the risk of displacement of the peritoneal tip catheter in obese patients and with high intra-abdominal pressure, helping to reduce the need for reoperations. In addition, the present case report supports the need for further studies and clinical trials on the subject.

【 授权许可】

CC BY|CC BY-NC-ND