This guide will help you get ready for your surgery to have your programmable or nonprogrammable ventriculoperitoneal VP shunt placed at Memorial Sloan Kettering MSK. It will also help you understand what to expect during your recovery. Read through this guide at least once before your surgery and use it as a reference in the days leading up to your surgery.
It can be the result of a variety of different diseases and injuries including those that cause disruptions to the absorption of CSF or an obstruction to the CSF flow Koutoukidis et al. There are different treatments available for those with hydrocephalus depending on many individual factors, but often can involve insertion of a shunt. In the United States alone, every year 33, people are having shunts placed Rinker et al.
A ventriculoperitoneal VP shunt is a medical device that relieves pressure on the brain caused by fluid accumulation. VP shunting is a surgical procedure that primarily treats a condition called hydrocephalus. CSF cushions your brain and protects it from injury inside your skull.
Back to Hydrocephalus. A shunt is a delicate piece of equipment that can malfunction, usually by becoming blocked or infected. Sometimes a scan after the operation shows the shunt is not in the best position, and further surgery is needed to reposition it.
Optional email code. Please click here for more detailed information on Shunt Complications. Shunts remain the mainstay of treatment for hydrocephalus and, in the majority of cases, this remains an effective treatment.
Little is known regarding the optimal treatment of ventriculoperitoneal VP shunt infections in adults. Our aim was to assess the efficacy of treatment strategies and to identify factors that predict failure. The primary endpoint was failure of the treatment strategy, defined as the absence of definite cerebrospinal fluid CSF sterilization or related mortality.
In some patients who have benefited with cerebrospinal fluid drainage via a lumbar drain to treat their condition for example, CSF leakage or idiopathic intracranial hypertension—IIHa lumboperitoneal shunt may be helpful. This procedure connects a tube from the CSF fluid space in the lumbar spine to the abdomen, usually with a fixed valve to prevent overdrainage. We typically use a valve that adjust for patient position sitting versus standing.
Adverse events related to shunt surgery are common and might have a negative effect on outcome in patients with idiopathic normal pressure hydrocephalus INPH. One hundred seventy-six shunt-treated patients with INPH mean age 74 years and age- and sex-matched controls from the population were included. The mean follow-up time after surgery was 21 months range 6—45 months.
A shunt is a hollow tube surgically placed in the brain or occasionally in the spine to help drain cerebrospinal fluid and redirect it to another location in the body where it can be reabsorbed. If the doctor finds that these problems improve after a lumbar punctureit may mean that placing a shunt may be able to provide a longer-term benefit. Notify your neurosurgery team before any abdominal surgery, so proper precautions can be discussed with your surgeon.