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- Departments of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York, USA.
- Department of Neurosurgery, Gates Vascular Institute at Kaleida Health, Buffalo, New York, USA.
- Department of Bariatrics, Buffalo General Medical Center, Buffalo, New York, USA.
- Department of General Surgery, John R Oishei Children’s Hospital, New York, USA.
- Canon Stroke and Vascular Research Center, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York, USA.
- Radiology, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York, USA.
Correspondence Address:
Adnan H. Siddiqui
Departments of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York, USA.
Department of Neurosurgery, Gates Vascular Institute at Kaleida Health, Buffalo, New York, USA.
Canon Stroke and Vascular Research Center, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York, USA.
Radiology, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York, USA.
DOI:10.25259/SNI_8_2020
Copyright: © 2020 Surgical Neurology International This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.How to cite this article: Steven B. Housley, Aaron Hoffman, Adnan H. Siddiqui. Ventriculoperitoneal shunt placement with ultrasound guidance and laparoscopic assistance: 2-dimensional instructional video. 25-Apr-2020;11:82
How to cite this URL: Steven B. Housley, Aaron Hoffman, Adnan H. Siddiqui. Ventriculoperitoneal shunt placement with ultrasound guidance and laparoscopic assistance: 2-dimensional instructional video. 25-Apr-2020;11:82. Available from: https://surgicalneurologyint.com/?post_type=surgicalint_articles&p=9981
Date of Submission
07-Jan-2020
Date of Acceptance
16-Mar-2020
Date of Web Publication
25-Apr-2020
Abstract
Background: Postoperative communicating hydrocephalus has been described in the literature commonly associated with treatment of ruptured intracranial aneurysms; however, it is also reported to occur following other intracranial interventions such as meningioma resection and decompressive hemicraniectomy. In 2011, Burkhardt et al. reported the incidence of postoperative hydrocephalus following skull base meningioma resection was twice as high as resection of meningiomas in other regions.[
Case Description: He was taken to the operating room for ventriculoperitoneal shunt placement, as displayed in this video case report, which highlights our surgical and sterile techniques, intraoperative ultrasound to ensure appropriate ventricular placement, and a single-port laparoscopic technique for direct visualization of placement of the abdominal catheter. After shunt placement, his course was complicated by a small tract hemorrhage, which resolved without further treatment. He was observed to have an improvement in mental function that occurred over the following 2–3 days before being discharged to an outpatient rehabilitation facility for continued care.
Conclusion: Ventriculoperitoneal shunt placement is an effective and safe procedure for the treatment of postoperative communicating hydrocephalus when performed with appropriate techniques as displayed in the associated video case report. The patient gave informed consent for surgery and video recording. Institutional Review Board approval was deemed unnecessary.
Keywords: Laparoscopy, Ultrasound, Ventriculoperitoneal shunt
Annotations[1-3]
1) 0:19 – Imaging before and following the meningioma resection after the development of hydrocephalus.
2) 4:40 – Preparation of shunt system.
3) 6:07 – Dural opening.
4) 6:50 – Ultrasound guidance of proximal catheter placement.
5) 8:05 – Single-port laparoscopic technique of distal catheter placement.
6) 9:40 – Small tract hemorrhage that resolved without further intervention.
Declaration of patient consent
The authors certify that they have obtained all appropriate patient consent .
Financial support and sponsorship
Nil.
Conflicts of interest
There are no conflicts of interest.
References
1. Burkhardt JK, Zinn PO, Graenicher M, Santillan A, Bozinov O, Kasper EM. Predicting postoperative hydrocephalus in 227 patients with skull base meningioma. Neurosurg Focus. 2011. 30: E9-
2. Duong DH, O’malley S, Sekhar LN, Wright DG. Postoperative hydrocephalus in cranial base surgery. Skull Base Surg. 2000. 10: 197-200
3. Waziri A, Fusco D, Mayer SA, McKhann GM, Connolly ES. Postoperative hydrocephalus in patients undergoing decompressive hemicraniectomy for ischemic or hemorrhagic stroke. Neurosurgery. 2007. 61: 489-93
