caa a22 4500 463180747 CHVBK 20180406164838.0 cr unu---uuuuu 170326e20070501xx s 000 0 eng 10.1007/s00381-006-0292-3 doi (NATIONALLICENCE)springer-10.1007/s00381-006-0292-3 Salvaging the "lost peritoneum” after ventriculoatrial shunt failures [Elektronische Daten] [R. Bhasin, Mike Chen, David Pincus] Objective: Placement of a ventriculoperitoneal (VP) shunt is the long-standing treatment of choice for hydrocephalus. However, in many patients with repeated distal failures, ventriculoatrial (VA) shunts are placed. Should the VA shunt fail, finding appropriate distal sites is often difficult. Materials and methods: We identified six patients, over a 3-year period, in whom conversion of VA to VP shunt was successfully performed with the aid of diagnostic laparoscopy or laparotomy. There were no ensuing shunt failures during the follow-up period (mean 1.5years). Conclusion: Because of the benefits of VP over VA shunting, every effort should be made to preserve the peritoneum as the target for the distal catheter. Laparotomy/laparoscopy is useful in locating suitable peritoneal targets when converting to VP shunt after VA shunt failure, or as a final effort before VA shunt conversion. Springer-Verlag, 2007 Ventriculoatrial shunt nationallicence Hydrocephalus nationallicence Laparotomy nationallicence Laparoscopy nationallicence Cerebrospinal fluid shunt nationallicence Bhasin R. Department of Neurosurgery, College of Medicine, University of Florida, P.O. Box 100265, 32610, Gainesville, FL, USA aut Chen Mike Department of Surgery, Division of Pediatric Surgery, College of Medicine, University of Florida, P.O. Box 100286, 32610, Gainesville, FL, USA aut Pincus David Department of Neurosurgery, College of Medicine, University of Florida, P.O. Box 100265, 32610, Gainesville, FL, USA aut Child's Nervous System Springer-Verlag 23/5(2007-05-01), 483-486 0256-7040 23:5<483 2007 23 381 https://doi.org/10.1007/s00381-006-0292-3 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00381-006-0292-3 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Bhasin R. Department of Neurosurgery, College of Medicine, University of Florida, P.O. Box 100265, 32610, Gainesville, FL, USA aut NATIONALLICENCE 700 1- Chen Mike Department of Surgery, Division of Pediatric Surgery, College of Medicine, University of Florida, P.O. Box 100286, 32610, Gainesville, FL, USA aut NATIONALLICENCE 700 1- Pincus David Department of Neurosurgery, College of Medicine, University of Florida, P.O. Box 100265, 32610, Gainesville, FL, USA aut NATIONALLICENCE 773 0- Child's Nervous System Springer-Verlag 23/5(2007-05-01), 483-486 0256-7040 23:5<483 2007 23 381 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer