caa a22 4500 463180313 CHVBK 20180406164837.0 cr unu---uuuuu 170326e20070401xx s 000 0 eng 10.1007/s00381-006-0237-x doi (NATIONALLICENCE)springer-10.1007/s00381-006-0237-x Staged operations for posthemorrhagic hydrocephalus in extremely low-birth-weight infants with preceding stoma creation after bowel perforation: surgical strategy [Elektronische Daten] [Shinichi Nakano, Tetsuaki Sugimoto, Takuma Kawasoe, Asako Koreeda, Kazuhiro Kondo, Tomoaki Ikeda, Katsuhide Kai, Shinichiro Wakisaka] Case report: We report a complicated extremely low-birth-weight (ELBW) infant with posthemorrhagic hydrocephalus after intraventricular hemorrhage and preceding stoma creation after bowel perforation who was treated with staged operations, including shunting and external ventricular drainage. The first operation was a temporary valveless ventriculoperitoneal (VP) shunt placement until the time of the stoma closure. The stoma was successfully closed 3months after the first operation when the peritoneal tube was drawn out from the chest wall and the VP shunt system was temporarily used as an external drainage with a long subcutaneous tunnel. One month after the second operation, final VP shunt placement was performed after good healing of bowel anastomosis was surely confirmed. The previous peritoneal shunt tube was cut behind the ear, removed, and replaced with a valve-regulated VP shunt system. Conclusion: This staged strategy is a safe and feasible option for complicated ELBW infants with preceding stoma and hydrocephalus. Springer-Verlag, 2006 External ventricular drainage nationallicence Extremely low-birth-weight infant nationallicence Hydrocephalus nationallicence Intraventricular hemorrhage nationallicence Stoma nationallicence Ventriculoperitoneal shunt nationallicence Nakano Shinichi Department of Neurosurgery, Faculty of Medicine, University of Miyazaki, 5200, Kihara, Kiyotake, 889-1692, Miyazaki, Japan aut Sugimoto Tetsuaki Department of Neurosurgery, Faculty of Medicine, University of Miyazaki, 5200, Kihara, Kiyotake, 889-1692, Miyazaki, Japan aut Kawasoe Takuma Department of Neurosurgery, Faculty of Medicine, University of Miyazaki, 5200, Kihara, Kiyotake, 889-1692, Miyazaki, Japan aut Koreeda Asako Department of Neurosurgery, Faculty of Medicine, University of Miyazaki, 5200, Kihara, Kiyotake, 889-1692, Miyazaki, Japan aut Kondo Kazuhiro Department of Surgery, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan aut Ikeda Tomoaki Department of Obstetrics, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan aut Kai Katsuhide Department of Obstetrics, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan aut Wakisaka Shinichiro Department of Neurosurgery, Faculty of Medicine, University of Miyazaki, 5200, Kihara, Kiyotake, 889-1692, Miyazaki, Japan aut Child's Nervous System Springer-Verlag 23/4(2007-04-01), 459-463 0256-7040 23:4<459 2007 23 381 https://doi.org/10.1007/s00381-006-0237-x text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00381-006-0237-x text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Nakano Shinichi Department of Neurosurgery, Faculty of Medicine, University of Miyazaki, 5200, Kihara, Kiyotake, 889-1692, Miyazaki, Japan aut NATIONALLICENCE 700 1- Sugimoto Tetsuaki Department of Neurosurgery, Faculty of Medicine, University of Miyazaki, 5200, Kihara, Kiyotake, 889-1692, Miyazaki, Japan aut NATIONALLICENCE 700 1- Kawasoe Takuma Department of Neurosurgery, Faculty of Medicine, University of Miyazaki, 5200, Kihara, Kiyotake, 889-1692, Miyazaki, Japan aut NATIONALLICENCE 700 1- Koreeda Asako Department of Neurosurgery, Faculty of Medicine, University of Miyazaki, 5200, Kihara, Kiyotake, 889-1692, Miyazaki, Japan aut NATIONALLICENCE 700 1- Kondo Kazuhiro Department of Surgery, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan aut NATIONALLICENCE 700 1- Ikeda Tomoaki Department of Obstetrics, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan aut NATIONALLICENCE 700 1- Kai Katsuhide Department of Obstetrics, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan aut NATIONALLICENCE 700 1- Wakisaka Shinichiro Department of Neurosurgery, Faculty of Medicine, University of Miyazaki, 5200, Kihara, Kiyotake, 889-1692, Miyazaki, Japan aut NATIONALLICENCE 773 0- Child's Nervous System Springer-Verlag 23/4(2007-04-01), 459-463 0256-7040 23:4<459 2007 23 381 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer