Complications Ventriculoperitoneal Shunts

Many pediatric patients will have ventriculoperitoneal shunts for hydrocephalus, and one report suggested that these children would require exteriorization of the shunt during laparoscopy to prevent acute rise in intracranial pressure (31). The theory behind this was logical but it has not appeared to be the case clinically and several patients with

There is no evidence that the presence of a ventriperitoneal shunt should pose any risk to laparoscopic procedures.

ventriculoperitoneal shunts have undergone laparoscopic procedures with no apparent problems (32).

There is no evidence that the presence of a ventriculoperitoneal shunt should pose any risk to laparoscopic procedures. Indeed we have used laparoscopy for intraabdominal shunt revision.

Complications in children are the same as in adults, although their clinical presentation may be less distinct and a higher index of suspicion should be established.

When dealing with children, following any surgical procedure, it is important to recognize their ability to maintain a well-compensated state for long periods but then to rapidly decline in their ability to remain compensated.

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