Laparoscopic Placement of Ventriculoperitoneal Shunts: Preliminary Report

WOUTER I. SCHIEVINK, ROBERT E. WHAREN, RONALD REIMER, PAUL D.M. PETTIT, JEFFREY C. SEILER, TIMOTHY S.J. SHINE

Research output: Contribution to journalArticle

41 Citations (Scopus)

Abstract

We used a laparoscopic technique for the percutaneous placement of the peritoneal end of cerebrospinal fluid shunts in adult patients with obstructive or normal-pressure hydrocephalus. Concurrent with the initial cranial part of the procedure, pneumoperitoneum is established in a routine fashion, and a video-laparoscope and grasping forceps are inserted into the peritoneal cavity. With use of a pacemaker introducer kit, the peritoneal catheter is placed percutaneously under direct laparoscopic vision through a small upper abdominal incision into the peritoneal cavity. At the completion of the procedure, the patency of the assembled shunt system can be verified by observing free flow of cerebrospinal fluid from the catheter tip as the valve is being pumped. We found that this technique is particularly useful in technically challenging cases—for example, those involving obese patients and those who have undergone multiple abdominal operations. No complications associated with the technique were encountered.

Original languageEnglish (US)
Pages (from-to)1064-1066
Number of pages3
JournalMayo Clinic Proceedings
Volume68
Issue number11
DOIs
StatePublished - 1993

Fingerprint

Ventriculoperitoneal Shunt
Peritoneal Cavity
Catheters
Cerebrospinal Fluid Shunts
Laparoscopes
Normal Pressure Hydrocephalus
Pneumoperitoneum
Surgical Instruments
Cerebrospinal Fluid

ASJC Scopus subject areas

  • Medicine(all)

Cite this

SCHIEVINK, WOUTER. I., WHAREN, ROBERT. E., REIMER, RONALD., PETTIT, PAUL. D. M., SEILER, JEFFREY. C., & SHINE, TIMOTHY. S. J. (1993). Laparoscopic Placement of Ventriculoperitoneal Shunts: Preliminary Report. Mayo Clinic Proceedings, 68(11), 1064-1066. https://doi.org/10.1016/S0025-6196(12)60899-4

Laparoscopic Placement of Ventriculoperitoneal Shunts : Preliminary Report. / SCHIEVINK, WOUTER I.; WHAREN, ROBERT E.; REIMER, RONALD; PETTIT, PAUL D.M.; SEILER, JEFFREY C.; SHINE, TIMOTHY S.J.

In: Mayo Clinic Proceedings, Vol. 68, No. 11, 1993, p. 1064-1066.

Research output: Contribution to journalArticle

SCHIEVINK, WOUTERI, WHAREN, ROBERTE, REIMER, RONALD, PETTIT, PAULDM, SEILER, JEFFREYC & SHINE, TIMOTHYSJ 1993, 'Laparoscopic Placement of Ventriculoperitoneal Shunts: Preliminary Report', Mayo Clinic Proceedings, vol. 68, no. 11, pp. 1064-1066. https://doi.org/10.1016/S0025-6196(12)60899-4
SCHIEVINK WOUTERI, WHAREN ROBERTE, REIMER RONALD, PETTIT PAULDM, SEILER JEFFREYC, SHINE TIMOTHYSJ. Laparoscopic Placement of Ventriculoperitoneal Shunts: Preliminary Report. Mayo Clinic Proceedings. 1993;68(11):1064-1066. https://doi.org/10.1016/S0025-6196(12)60899-4
SCHIEVINK, WOUTER I. ; WHAREN, ROBERT E. ; REIMER, RONALD ; PETTIT, PAUL D.M. ; SEILER, JEFFREY C. ; SHINE, TIMOTHY S.J. / Laparoscopic Placement of Ventriculoperitoneal Shunts : Preliminary Report. In: Mayo Clinic Proceedings. 1993 ; Vol. 68, No. 11. pp. 1064-1066.
@article{00680a34bf8147789df209137da23500,
title = "Laparoscopic Placement of Ventriculoperitoneal Shunts: Preliminary Report",
abstract = "We used a laparoscopic technique for the percutaneous placement of the peritoneal end of cerebrospinal fluid shunts in adult patients with obstructive or normal-pressure hydrocephalus. Concurrent with the initial cranial part of the procedure, pneumoperitoneum is established in a routine fashion, and a video-laparoscope and grasping forceps are inserted into the peritoneal cavity. With use of a pacemaker introducer kit, the peritoneal catheter is placed percutaneously under direct laparoscopic vision through a small upper abdominal incision into the peritoneal cavity. At the completion of the procedure, the patency of the assembled shunt system can be verified by observing free flow of cerebrospinal fluid from the catheter tip as the valve is being pumped. We found that this technique is particularly useful in technically challenging cases—for example, those involving obese patients and those who have undergone multiple abdominal operations. No complications associated with the technique were encountered.",
author = "SCHIEVINK, {WOUTER I.} and WHAREN, {ROBERT E.} and RONALD REIMER and PETTIT, {PAUL D.M.} and SEILER, {JEFFREY C.} and SHINE, {TIMOTHY S.J.}",
year = "1993",
doi = "10.1016/S0025-6196(12)60899-4",
language = "English (US)",
volume = "68",
pages = "1064--1066",
journal = "Mayo Clinic Proceedings",
issn = "0025-6196",
publisher = "Elsevier Science",
number = "11",

}

TY - JOUR

T1 - Laparoscopic Placement of Ventriculoperitoneal Shunts

T2 - Preliminary Report

AU - SCHIEVINK, WOUTER I.

AU - WHAREN, ROBERT E.

AU - REIMER, RONALD

AU - PETTIT, PAUL D.M.

AU - SEILER, JEFFREY C.

AU - SHINE, TIMOTHY S.J.

PY - 1993

Y1 - 1993

N2 - We used a laparoscopic technique for the percutaneous placement of the peritoneal end of cerebrospinal fluid shunts in adult patients with obstructive or normal-pressure hydrocephalus. Concurrent with the initial cranial part of the procedure, pneumoperitoneum is established in a routine fashion, and a video-laparoscope and grasping forceps are inserted into the peritoneal cavity. With use of a pacemaker introducer kit, the peritoneal catheter is placed percutaneously under direct laparoscopic vision through a small upper abdominal incision into the peritoneal cavity. At the completion of the procedure, the patency of the assembled shunt system can be verified by observing free flow of cerebrospinal fluid from the catheter tip as the valve is being pumped. We found that this technique is particularly useful in technically challenging cases—for example, those involving obese patients and those who have undergone multiple abdominal operations. No complications associated with the technique were encountered.

AB - We used a laparoscopic technique for the percutaneous placement of the peritoneal end of cerebrospinal fluid shunts in adult patients with obstructive or normal-pressure hydrocephalus. Concurrent with the initial cranial part of the procedure, pneumoperitoneum is established in a routine fashion, and a video-laparoscope and grasping forceps are inserted into the peritoneal cavity. With use of a pacemaker introducer kit, the peritoneal catheter is placed percutaneously under direct laparoscopic vision through a small upper abdominal incision into the peritoneal cavity. At the completion of the procedure, the patency of the assembled shunt system can be verified by observing free flow of cerebrospinal fluid from the catheter tip as the valve is being pumped. We found that this technique is particularly useful in technically challenging cases—for example, those involving obese patients and those who have undergone multiple abdominal operations. No complications associated with the technique were encountered.

UR - http://www.scopus.com/inward/record.url?scp=0027145496&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0027145496&partnerID=8YFLogxK

U2 - 10.1016/S0025-6196(12)60899-4

DO - 10.1016/S0025-6196(12)60899-4

M3 - Article

C2 - 8231270

AN - SCOPUS:0027145496

VL - 68

SP - 1064

EP - 1066

JO - Mayo Clinic Proceedings

JF - Mayo Clinic Proceedings

SN - 0025-6196

IS - 11

ER -