Sankpal Rajendra, Chandavarkar Abhishek, Chandavarkar Madhura
Department of Gynecology, Holy Spirit Hospital, Andheri and Hiranandani Hospital, Powai, Mumbai, Maharashtra, India.
Apeksha Maternity & Surgical Nursing Home, Bethany Hospital and Jupiter Hospital, Thane, Mumbai, Maharashtra, India.
J Gynecol Endosc Surg. 2011 Jul-Dec;2(2):91-3. doi: 10.4103/0974-1216.114082.
There has been an increasing trend in Laparoscopic surgeries. There is also a higher incidence of patients with ventriculoperitoneal (VP) shunts due to the advances in the techniques of cerebral shunts. Surgeons may come across patients of VP shunts presenting with an indication for laparoscopic surgery. Although there is no absolute contraindication for laparoscopy in VP shunts, there is always a risk of raised intracranial pressure. We describe a case of VP shunt presenting with an ectopic pregnancy and undergoing laparoscopic salpingectomy. Patient withstood the procedure well and had an uneventful recovery. Reviewing the literature, we found that laparoscopy is safe in VP shunts. However, there should always be accompanied by good monitoring facilities.
腹腔镜手术呈上升趋势。由于脑分流技术的进步，脑室腹腔（VP）分流患者的发病率也更高。外科医生可能会遇到需要进行腹腔镜手术的VP分流患者。虽然VP分流患者进行腹腔镜检查没有绝对禁忌证，但始终存在颅内压升高的风险。我们描述了一例VP分流合并异位妊娠并接受腹腔镜输卵管切除术的病例。患者手术耐受良好，恢复顺利。回顾文献，我们发现腹腔镜检查在VP分流患者中是安全的。然而，始终应配备良好的监测设备。
