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J Neurol Surg A Cent Eur Neurosurg 2021; 82(02): 166-168
DOI: 10.1055/s-0040-1712532
Surgical Technique

Fenestration of Peritoneal Catheter to Avoid Abdominal Pseudocyst Formation after Ventriculoperitoneal Shunts: A Technical Note

Antonio Scollato
1   Neurosurgery Unit, Card. G. Panico Hospital, Tricase, Italy
,
Sokol Trungu 
1   Neurosurgery Unit, Card. G. Panico Hospital, Tricase, Italy
2   Department of NESMOS, Faculty of Medicine and Psychology, “Sapienza” University of Rome, Sant'Andrea Hospital, Rome, Italy
,
Stefano Forcato
1   Neurosurgery Unit, Card. G. Panico Hospital, Tricase, Italy
,
Luca Ricciardi
1   Neurosurgery Unit, Card. G. Panico Hospital, Tricase, Italy
2   Department of NESMOS, Faculty of Medicine and Psychology, “Sapienza” University of Rome, Sant'Andrea Hospital, Rome, Italy
,
Massimo Miscusi
2   Department of NESMOS, Faculty of Medicine and Psychology, “Sapienza” University of Rome, Sant'Andrea Hospital, Rome, Italy
,
Pasquale Gallina
3   Department of Neurosurgery, University of Florence, Careggi University Hospital, Florence, Italy
,
Antonino Raco
2   Department of NESMOS, Faculty of Medicine and Psychology, “Sapienza” University of Rome, Sant'Andrea Hospital, Rome, Italy
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Abstract

Ventriculoperitoneal shunt (VPS) is a well-known procedure in the neurosurgical field. However, it has high complication and reoperation rates. Abdominal pseudocyst (APC) formation is a rare complication of VPS with reports in the literature varying from 4 to 10%. In this article, we report a simple and effective technique, with no additional cost, to avoid APC formation by making small multiple slits along the length of the peritoneal catheter.

Keywords

ventriculoperitoneal shunt - abdominal pseudocyst - shunt revision - shunt complication


Publication History

Received: 13 January 2020

Accepted: 19 March 2020

Article published online:
01 December 2020

© 2020. Thieme. All rights reserved.

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