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Year : 2016  |  Volume : 29  |  Issue : 3  |  Page : 495-498

Laparoscopic management of complications in cases of ventriculoperitoneal shunt

1 Department of General Surgery, Faculty of Medicine, Menoufia University, Menoufia, Egypt
2 Department of Neurosurgery, Sharq El Madina Hospital, Alexandria, Egypt

Correspondence Address:
Mohammed A. A. Ali
Department of Neurosurgery, Sharq El Madina Hospital, 25th Street, Toson, Alexandria, 21519
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1110-2098.198660

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Objective The  objective of this study was to assess the value  of laparoscopy in the management of the complications that occur after the insertion of the ventriculoperitoneal shunt (VPS). Materials and methods Data  were obtained from Medline databases (PubMed, Medscape, ScienceDirect), EMF-Portal, and all materials available in the internet from 2014 to 2015. The initial search presented 48 articles, of which 24 met the inclusion criteria. The articles studied the role of laparoscopy in the management of the complications after the insertion of the VPS and different case studies about the role of laparoscopy. If the studies did not fulfill the inclusion criteria, they were excluded. Study quality assessment included whether ethics approval was gained, eligibility criteria was specified, appropriate controls, and adequate information and defined assessment measures. The study was conducted on 20 patients who were already diagnosed with abdominal complications after previous insertion of VPS. In our study, with regard to the sex, there were 11 male and nine female patients. Age ranged from 29 days to 43 years, and there were 14 children and six adults. All of our 20 patients were examined using abdomen ultrasound (US): 12 of them had positive US findings and the remaining eight cases had no US findings. In our study, the 20 patients with abdominal complications were submitted to laparoscopy as a management tool, and we examined whether the role of laparoscopy was beneficial or not. Results A total of 24 potentially relevant publications were included. The studies revealed the experimental trials on using abdominal laparoscopy to deal with the abdominal complications after the insertion of the VPS. Conclusion We found that laparoscopy is a useful modality for the treatment of intra-abdominal complications of VPS such as adhesions and pseudocyst.   It is effective, and it avoids multiple laparotomies and its attendant complications and future adhesions.

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