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69380

Effect of Fixed Node Maneuver on Migration of Lumboperitoneal Shunt: A pilot study

Article

Last updated: 22 Jan 2023

OverviewSimilar Items

Subjects

-

Tags

Surgery

Abstract

Background: Shunt migration after Lumboperitoneal [LP] shunt procedures can occur upward into the spinal subarachnoid space and downward into the abdominal cavity. Cranial migrations are less common than downward migration into the abdominal cavity. Defects of the fixation devices in the shunt system are considered the main cause.
Aim of the work: To evaluate fixed node maneuver, a new technique to avoid shunt migration.
Patients and methods: Among many cases of shunt installations, we selected 30 patients who received a first-time shunt installation for different causes [pseudotumor cerebri [24 cases], primary cerebrospinal fluid [CSF] rhinorrhea [5 cases] and one case for persistent postoperative lumbar CSF leak]. All cases underwent LP shunt with fixed node in group [A; 15 patients] and the traditional mode of fixation in group [B; 15 patients], with evaluation of postoperative clinical improvement and shunt migration.
Results: Clinical improvement occurred in 27 [90%] patients. However, shunt migration was recorded in 2 [13.3%] patients of the second group [B], while in group [A], no recorded shunt migration.
Conclusion: We advocated clinical efficacy of fixed node maneuver of lumboperitoneal shunt to avoid shunt migration.

DOI

10.21608/ijma.2020.20340.1049

Keywords

Cerebrospinal fluid shunts, Ventriculoperitoneal, Thecoperitoneal, Tidal phenomena, shunt

Authors

First Name

Mohamed

Last Name

Mansour

MiddleName

Hasan

Affiliation

Department of Neurosurgery, Faculty of Medicine, Al-Azhar University

Email

mohamedhasanmansour@gmail.com

City

Cairo

Orcid

-

First Name

Mohammed

Last Name

Ahmed Alhady

MiddleName

El-Gebaly

Affiliation

Neurosurgery Department, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

m.gebali@domazhermedicine.edu.eg

City

-

Orcid

-

First Name

Hatem

Last Name

Elkhouly

MiddleName

Saad

Affiliation

Department of Neurosurgery, Faculty of Medicine, Al-Azhar University

Email

alkholyhatem@yahoo.com

City

Cairo

Orcid

-

Volume

2

Article Issue

1

Related Issue

10770

Issue Date

2020-01-01

Receive Date

2019-11-30

Publish Date

2020-01-01

Page Start

260

Page End

264

Print ISSN

2636-4174

Online ISSN

2682-3780

Article File

IJMA_Volume 2_Issue 1_Pages 260-264.pdf

PDF . 273.8kB

Link

https://ijma.journals.ekb.eg/article_69380.html

Detail API

https://ijma.journals.ekb.eg/service?article_code=69380

Order

17

Type

Original Article

Type Code

816

Publication Type

Journal

Publication Title

International Journal of Medical Arts

Publication Link

https://ijma.journals.ekb.eg/

MainTitle

-

Details

Type

Article

Created At

22 Jan 2023