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Ventriculoperitoneal Shunt A ventriculoperitoneal (VP) shunt is a medical device that relieves the brain from pressure caused due to accumulation of fluid. Ventriculoperitoneal shunting is a surgical procedure that uses a VP shunt to primarily treat a condition called hydrocephalus. This condition occurs when the brain’s ventricles are excessively accumulated with cerebrospinal fluid (CSF). When the normal flow of cerebrospinal fluid is disturbed, the buildup of this fluid creates pressure on the brain’s tissues, which is so harmful it can lead to brain damage. Doctors surgically place VP shunts inside one of the ventricles of the brain to divert this fluid away from it and restore normal flow by absorption of the fluid. It is performed for both diagnostic reasons and therapeutic reasons.
Indication Ventriculoperitoneal shunting is recommended for those who suffer from hydrocephalus. Anyone can develop hydrocephalus but it is most likely to occur in babies and older adults. To confirm the diagnosis of hydrocephalus imaging tests should be done by a doctor. If you suffer from any of the following symptoms of hydrocephalus then you may need ventriculoperitoneal shunting : • If you experience headaches, seizures, irritability, excessive sleepiness, incontinence, poor appetite, regression, memory loss, poor coordination or impaired vision. • If you have cysts, tumors, or inflammation in the brain which can cause blockages and impede normal flow of cerebrospinal fluid.
During Procedure The medical team will perform the surgery in sterile conditions under general anaesthesia. The operation usually takes less than an hour. It involves the following steps: • A small incision will be made in the scalp. A small hole will then be drilled in the skull. • A tiny opening will be made in the protective coverings of the brain. These openings accommodate a tube called the catheter which passes into a ventricle in the brain. • The end of the catheters will be tunnelled under the skin and carefully placed in the appropriate receiving cavity usually in the abdomen. • The doctor will then make two or three small incisions usually above or behind the ear to place the shunt valve. This valve connects to both catheters. The valve opens when extra pressure builds up in the brain allowing the excess fluid to drain through the catheter into the belly or chest area. • You will be taken from the operating room to a recovering area and then moved to a hospital room
Pre Procedure • If the procedure is not an emergency and it is a planned surgery then there are a few pre-procedures you need to follow before undergoing this treatment. In order to help prevent infection, you may be asked to shave some of the hair on your head and wash head and body with specially prescribed soap and shampoo. Intake medicines and tablets that your doctor prescribed with a sip of water before the surgery. • It is very important to inform your health care provider about any medicines, supplements, vitamins, or herbs you are taking. Follow the instructions about limited eating or drinking as provided by your doctor. Your medical team will cover you with sterile linen to maintain a sterile environment throughout the treatment.
More info • Infection of the shunt is most common within the first few weeks of a shunt placement. Follow the instructions of your health care provider on how to take care of the shunt at home. This may include taking medicine to prevent infection. • The shunt may stop working at one point. Therefore regular checkup is important. For children, the shunt may need to be repositioned as they grow older. • The cost of the shunt surgery can approximately vary from 1 lakh to 3 lakhs depending on the hospital facilities and the required shunt chosen by doctor.
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