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ASK THE EXPERT Episode 8 Removing a Shunt
นอกจากการดูบทความนี้แล้ว คุณยังสามารถดูข้อมูลที่เป็นประโยชน์อื่นๆ อีกมากมายที่เราให้ไว้ที่นี่: ดูเพิ่มเติม
If it appears a shunt is no longer needed in a patient, do you remove the shunt?
Ventriculo-peritoneal shunt – GoPro footage
This is Brainbook case 3 together with the second installment of our Brainbook GoPro series.
This young man in his mid20s was referred from the eye hospital because of papilloedema in both eyes.
The case video shows CT and MRI scans together with endoscopic surgery (using a camera to look inside the brain) as well as GoPro footage of ventriculoperitoneal shunt insertion.
The case is being discussed on Twitter so follow us @realbrainbook and don’t forget to subscribe to our YouTube channel.
Written informed consent was obtained from the patient and videos are copyright Barts Health NHS Trust.
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Please watch: \”Lumbar spine surgery percutaneous fixation\”
https://www.youtube.com/watch?v=bgZCqFrKasw
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VENTRICULO PERITONEAL SHUNT STANDARD TECHNIQUES
3 MONTHS OLD MALE CHILD PRESENTED WITH HISTORY OF GRADUAL INCREASE IN SIZE OF HEAD FOR LAST 1 MONTH
THE CHILD HAS BECOME MORE IRRITABLE AND HAS FAILURE TO THRIVE, NO H/O FEVER
ON EXAMINATION HEAD CIRCUMFERNCE WAS 55CMS AND HAD DILATED VEINS ON FRONTAL REGION. ANTERIOR FONTANELLE WAS TENSE AND BULGING WITH SUNSET SIGN.
THEIR WAS NO CONGENTIAL NEUROCUTANEOUS MARKERS
PATIENT WAS INITIALLY EVALUATED AT PERIPHERAL HOSPITAL AND SHIFTED TO OUR HOSPITAL FOR FURTHER MANAGEMENT
HAEMTOLOGICAL WORK UP SHOWED NORMAL FINDINGS
CT SCAN SHOWED DILATED LATERAL AND THIRD VENTRICLE WITH NORMAL FOURTH VENTRICLE WITH EFFACEMENT OF SULCI AND GYRI.
PATIENT UNDERWENT RIGHT VENTRICULOPERITONEAL SHUNT
REASON FOR CHOICE OF VP SHUNT OVER ETV WAS BECAUSE IN VERY YOUNG INFANT ETV HAS POOR RESULTS.
POSTOP CHILD WAS NEUROLOGICALLY NORMAL AND HAD STARTED ACCEPTING FEEDS EFFECTIVELY.HEAD CIRCUMFERNCE WAS REDUCED TO 52CMS.
FONTENELLE WERE SUNKEN AND DILATED VEINS HAS DISAPPEARED
POSTOP CT SCAN SHOWED SHUNT TUBE WAS IN SITU IN LATERAL VENTRICLE AND DILATED CISTERNAL SPACES
POSTOP PATIENT HAS MADE COMPLETE IMPROVEMENT.
COMPLETE BRAIN AND SPINE CARE UNDER COMPHRENSIVE MANAGEMENT BY EXPERTS IN THE FIELDS LED BY DR.RAVIRAJ.GHORPADE UNDER ONE ROOF
BHS LAKE VIEW GROUP OF HOSPITALS,
BELGAUM,KARNATAKA, INDIA
Contact [email protected] , +918762996508
SUBSCRIBE,SHARE \u0026 COMMENT FOR THIS VIDEO
Life after VP Shunt
A ventriculoperitoneal (VP) shunt is a medical device that relieves pressure on the brain caused by fluid accumulation. There are two types of VP shunts programmable and nonprogrammable. In a nonprogrammable shunt, valves are programmed to activate when the fluid reaches a certain volume. In a programmable shunt, there is an external and adjustable valve that the doctor can readjust at any time according to the person’s needs. The total recovery takes 2 to 3 weeks.
Start with liquids and move on to solid foods.
Keep the incision site clean and check for signs of infection every day.
Doctor will let you know when to start showering again.
Traveling is allowed after 4 weeks or so. Always carry your Patient Identification Card, provided by the neurosurgeon, with you at all times.
Avoid strenuous activities that involve physical blows to the head for approximately 6 weeks.
Doctor will advise when to resume normal daily activities and go back to work, which is usually after 7 weeks.
VP shunts can be replaced anytime between six years to eight years of time.
Driving: Wait for at least 6 months or can be longer if you have highpressure headaches.
Avoid bringing smartphones, toys, audio headphones, loudspeakers, shaver, hairdryer, and clipper too close to the valve site.
For treatment assistance in your country or abroad:
Email: [email protected]
Phone/WhatsApp/Viber: +919650001746
Website: www.vaidam.com
Vaidam is an ISO and NABH accredited medical assistance company. Patients from 100+ countries have used our services.
Useful Links:
India
Doctors: https://www.vaidam.com/doctors/neurologyandneurosurgery/vpshunting/india
Hospitals: https://www.vaidam.com/hospitals/neurologyandneurosurgery/vpshunting/india
Cost of VP Shunt: https://www.vaidam.com/cost/vpshuntingcostinindia
Turkey
Doctors: https://www.vaidam.com/doctors/neurologyandneurosurgery/vpshunting/turkey
Hospitals: https://www.vaidam.com/hospitals/neurologyandneurosurgery/vpshunting/turkey
Ventriculoperitoneal Shunt (standard technique)
Ventriculoperitoneal (VP) shunt insertion is by far the most common pediatric neurosurgical procedure.
As simple as it may be, complications and shunt infection rate are still high. Exercising caution and vigilant infection control aspects remain an integral part to the successful VP shunt surgery
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