Tubbs R Shane, Azih Lilian C, Mortazavi Martin M, Chern Joshua J, Hankinson Todd, Oakes W Jerry, Cohen-Gadol Aaron A
Pediatric Neurosurgery, Children's Hospital, 1600 7th Avenue South, Birmingham, AL 35233, USA.
Childs Nerv Syst. 2012 Feb;28(2):217-9. doi: 10.1007/s00381-011-1403-3. Epub 2011 Feb 1.
Improved cosmesis has been demonstrated using a transumbilical incision for placement of the peritoneal end of a ventriculoperitoneal shunt. We now present our experience with this technique.
From January 2005 until present, a prospective cohort of 25 children underwent placement of a ventriculoperitoneal shunt with the peritoneal shunt catheter being introduced into the peritoneum via an incision into the umbilicus. There were 17 boys and 8 girls. The age range at insertion was 6 days to 5 years (mean 1.2 years).
The mean follow-up for this group was 3.2 years (range 2 months to 6 years). Of all patients, only one complication (4%) has occurred, although this did not lead to long-term issues. The infection rate for this small group was 0%.
Placement of the peritoneal end of a ventriculoperitoneal shunt via an umbilical incision is effective, cosmetically appealing, and not more prone to complications than other standard incisions used on the anterior abdominal wall. Additionally, and based on our experience, this approach is quicker and almost bloodless with no long-term complications.
经脐切口放置脑室腹腔分流管的腹膜端已被证明可改善美容效果。我们现在介绍我们在这项技术上的经验。
从2005年1月至今，一组25名儿童接受了脑室腹腔分流管置入术，腹膜分流导管通过脐部切口引入腹腔。其中男孩17名，女孩8名。置入时的年龄范围为6天至5岁（平均1.2岁）。
该组患者的平均随访时间为3.2年（范围为2个月至6年）。在所有患者中，仅发生了1例并发症（4%），不过这并未导致长期问题。该小组的感染率为0%。
经脐切口放置脑室腹腔分流管的腹膜端是有效的，具有美容吸引力，并且与用于前腹壁的其他标准切口相比，并不更容易出现并发症。此外，根据我们的经验，这种方法更快且几乎不出血，没有长期并发症。
