Sheath formation around peritoneal tube: possible explanation for unknown cause of ventriculoperitoneal shunt failure

Ventriculoperitoneal (VP) shunt failures are common and are frequently associated with an obstruction of the peritoneal tube. This study aimed to explore the possible causes of peritoneal tube obstruction, which are largely unknown. From January 1981 to June 2018, we performed VP shunting in 646 pat...

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Bibliographic Details
Published in:Acta neurochirurgica 2021-12, Vol.163 (12), p.3369-3372
Main Authors: Yokoya, Shigeomi, Hino, Akihiko, Oka, Hideki
Format: Article
Language:English
Subjects:
Abdomen
Abscesses
Aneurysms
Case Report - Neurosurgery general
Catheters
Cysts
Failure
Humans
Hydrocephalus
Hydrocephalus - etiology
Hydrocephalus - surgery
Infections
Interventional Radiology
Medicine
Medicine & Public Health
Minimally Invasive Surgery
Neurology
Neuroradiology
Neurosurgery
Neurosurgery general
Patients
Peritoneum
Postoperative Complications - etiology
Postoperative Complications - surgery
Surgical Orthopedics
Ventriculoperitoneal shunt
Ventriculoperitoneal Shunt - adverse effects
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Summary:Ventriculoperitoneal (VP) shunt failures are common and are frequently associated with an obstruction of the peritoneal tube. This study aimed to explore the possible causes of peritoneal tube obstruction, which are largely unknown. From January 1981 to June 2018, we performed VP shunting in 646 patients with hydrocephalus. Among the procedures performed, 148 shunt revision procedures were performed in 98 patients with VP shunt failure. Of the study participants, 64 (43.2%) patients were diagnosed with peritoneal tube obstruction and five patients developed sheath formation that obstructed the end of the peritoneal tubes. Sheath formation around the peritoneal tube is a possible cause of VP shunt dysfunction.
ISSN:0001-6268
0942-0940
DOI:10.1007/s00701-021-05023-7