Department of Neurosurgery, Warren Alpert Medical School of Brown University, Providence, Rhode Island.
Department of Otolaryngology, Albert Einstein College of Medicine, Bronx, New York.
Oper Neurosurg (Hagerstown). 2017 Dec 1;13(6):E33-E36. doi: 10.1093/ons/opx050.
Cerebrospinal fluid shunt placement is used to treat the various causes of hydrocephalus by redirecting the cerebrospinal fluid to the body, most commonly from the ventricle to the peritoneum. Distal catheter displacement from the peritoneal cavity can occur as a complication, necessitating reoperation.
We report 2 such cases in obese patients involving retropulsion of the distal tubing. To address this complication, we implanted a T-connector to the distal catheter construct.
This study supports the use of a T-connector catheter construct to decrease and prevent the possibility of distal peritoneal catheter retropulsion in cases of elevated intra-abdominal pressure, both prophylactically and in revisions.
脑积水分流术用于通过将脑脊液重新引导到体内来治疗各种脑积水的病因，最常见的是从脑室到腹膜腔。远端导管从腹腔移位可能会发生作为一种并发症，需要再次手术。
我们报告了 2 例肥胖患者中涉及远端管道后退的这种情况。为了解决这个并发症，我们在远端导管结构中植入了 T 型连接器。
这项研究支持使用 T 型连接器导管结构来降低和预防在腹腔内压升高的情况下，无论是预防还是修复，都可能发生远端腹膜导管后退的可能性。
