W. Cuatico et D. Vannix, LAPAROSCOPICALLY GUIDED PERITONEAL INSERTION IN VENTRICULOPERITONEAL SHUNTS, Journal of laparoendoscopic surgery, 5(5), 1995, pp. 309-311
A technique of laparoscopically guided insertion of the peritoneal end
of ventriculoperitoneal shunts is described. Eleven consecutive cases
were done in this manner. There were no failures in inserting the per
itoneal end of the ventriculoperitoneal shunt catheter. By way of comp
arison, 11 previous cases were reviewed. These were done through stand
ard open methods. There were two failures in the open technique group.
One of the failures was the result of insertion of the peritoneal end
into the subcutaneous layer in an extremely obese patient. It is our
belief that this technique deserves consideration when a ventriculoper
itoneal shunt is contemplated in adults.