Use of Pneumoperitoneal Puncture for Peritoneal Catheter Placement in Lumboperitoneal Shunt Surgery:Technical Note.

Use of Pneumoperitoneal Puncture for Peritoneal Catheter Placement in Lumboperitoneal Shunt Surgery:Technical Note.

World Neurosurg. 2017 Apr 19;:

Authors: He J, Jin X, Kong J, Lin Y, Wu Z, Zhang X

Abstract
BACKGROUND: In hydrocephalus shunt surgery, a peritoneal catheter is traditionally inserted with laparotomy incision. The abdominal incision length will not be shorter than 3 cm in most cases. A longer incision has to be made in obese patients. The lateral position in lumboperitoneal shunt (LPS) surgery also increases the difficulty of laparotomy. The present report introduces a simple technique of pneumoperitoneal puncture for peritoneal catheter placement in LPS.
METHODS: Twenty-eight communicating hydrocephalus cases underwent pneumoperitoneal puncture in an LPS operation. The abdominal incision length,the time for peritoneal catheter placement, and the postoperative complications were recorded.
RESULTS: The length of the abdominal incision was 1cm, and the average time for peritoneal catheter placement was 3.5 minutes. No patient suffered from infection and obstruction. Two cases of subdural hematoma due to cerebrospinal fluid overdrainage occurred.
CONCLUSIONS: The pneumoperitoneal puncture technique has proven,in our experience,to be a minimally invasive,simple,and reliable method in a peritoneal catheter placement procedure. This technique, which needs to be assessed further by larger case series,may be considered a new method of choice for peritoneal catheter placement in LPS.

PMID: 28433843 [PubMed - as supplied by publisher]

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