Otake Kohei, Uchida Keiichi, Inoue Mikihiro, Matsushita Kohei, Hashimoto Kiyoshi, Ide Shozo, Matsubara Toshio, Tanaka Kouji, Mohri Yasuhiko, Kusunoki Masato
Department of Gastrointestinal, Mie University Graduate School of Medicine, Tsu, Mie, Japan.
Pediatr Neurosurg. 2011;47(3):214-6. doi: 10.1159/000331570. Epub 2011 Oct 27.
Temporary external drainage with adequate antibiotic treatment followed by ventriculoperitoneal (VP) shunt reinsertion is necessary to treat VP shunt malfunction with infection. In surgeries for VP shunt reinsertion, the key factors that determine whether the reinserted VP shunt will function sufficiently are adequate adhesiolysis and safe placement of the VP shunt within a satisfactory peritoneal location. Based on these factors, the prevention of postoperative adhesions after surgery for VP shunt malfunction is very important. We present two cases of shunt malfunction related to infection and report their successful treatment using Seprafilm®. Seprafilm may improve the safety of VP shunt reinsertion and preserve the function of the reinserted VP shunt after VP shunt malfunction with infection.
对于因感染导致的脑室腹腔（VP）分流器故障，采用适当的抗生素治疗并进行临时外引流，随后重新植入VP分流器是必要的。在VP分流器重新植入手术中，决定重新植入的VP分流器能否充分发挥功能的关键因素是充分的松解粘连以及将VP分流器安全放置在满意的腹膜位置。基于这些因素，预防VP分流器故障手术后的粘连非常重要。我们报告两例与感染相关的分流器故障病例，并介绍使用Seprafilm®成功治疗的情况。Seprafilm可能会提高VP分流器重新植入的安全性，并在因感染导致VP分流器故障后保留重新植入的VP分流器的功能。
