Removal of the Retained Ventricular Catheter Using the Endoscopic Monopolar Instrument
Background. Ventriculoperitoneal shunt (VPS) remains the main treatment for hydrocephalus. However, VPS revision surgery is very common. Here, we present a case in which the retained ventricular catheter was removed using the endoscopic monopolar instrument. Methods. We report a case of a 28-year-ol...
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2021/2880979 |
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| author | Julia Pereira Muniz Pontes Pedro Henrique Costa Ferreira-Pinto Elington Lannes Simoes Thaina Zanon Cruz Jefferson Trivino Sanchez Flavio Nigri |
| author_facet | Julia Pereira Muniz Pontes Pedro Henrique Costa Ferreira-Pinto Elington Lannes Simoes Thaina Zanon Cruz Jefferson Trivino Sanchez Flavio Nigri |
| author_sort | Julia Pereira Muniz Pontes |
| collection | DOAJ |
| description | Background. Ventriculoperitoneal shunt (VPS) remains the main treatment for hydrocephalus. However, VPS revision surgery is very common. Here, we present a case in which the retained ventricular catheter was removed using the endoscopic monopolar instrument. Methods. We report a case of a 28-year-old female who presented with VPS obstruction. She had two previous shunt revision surgeries due to shunt obstruction. Eleven years after the last one, she presented an abdominal pseudocyst that indicated a total system removal. During VPS revision surgery, a retained ventricular catheter was observed. The endoscopic monopolar instrument was introduced into the retained catheter under direct view. Coagulations in a back-and-forth movement were applied to release inner catheter adhesions. After these steps, the catheter was removed, and a new one was placed through the same route. Results. The catheter was removed without complications, confirmed by the postoperative cranial computed tomography. The patient remained asymptomatic. Conclusion. The described technique was effective and avoided ventricular bleeding. Further studies are necessary to validate this method. |
| format | Article |
| id | doaj-art-a7b1d56f9d2e43c2820ffbf731eb81ee |
| institution | Kabale University |
| issn | 2090-6919 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-a7b1d56f9d2e43c2820ffbf731eb81ee2025-02-03T01:04:16ZengWileyCase Reports in Surgery2090-69192021-01-01202110.1155/2021/2880979Removal of the Retained Ventricular Catheter Using the Endoscopic Monopolar InstrumentJulia Pereira Muniz Pontes0Pedro Henrique Costa Ferreira-Pinto1Elington Lannes Simoes2Thaina Zanon Cruz3Jefferson Trivino Sanchez4Flavio Nigri5Department of Surgical SpecialtiesDepartment of Surgical SpecialtiesDepartment of Surgical SpecialtiesDepartment of Surgical SpecialtiesDepartment of Surgical SpecialtiesDepartment of Surgical SpecialtiesBackground. Ventriculoperitoneal shunt (VPS) remains the main treatment for hydrocephalus. However, VPS revision surgery is very common. Here, we present a case in which the retained ventricular catheter was removed using the endoscopic monopolar instrument. Methods. We report a case of a 28-year-old female who presented with VPS obstruction. She had two previous shunt revision surgeries due to shunt obstruction. Eleven years after the last one, she presented an abdominal pseudocyst that indicated a total system removal. During VPS revision surgery, a retained ventricular catheter was observed. The endoscopic monopolar instrument was introduced into the retained catheter under direct view. Coagulations in a back-and-forth movement were applied to release inner catheter adhesions. After these steps, the catheter was removed, and a new one was placed through the same route. Results. The catheter was removed without complications, confirmed by the postoperative cranial computed tomography. The patient remained asymptomatic. Conclusion. The described technique was effective and avoided ventricular bleeding. Further studies are necessary to validate this method.http://dx.doi.org/10.1155/2021/2880979 |
| spellingShingle | Julia Pereira Muniz Pontes Pedro Henrique Costa Ferreira-Pinto Elington Lannes Simoes Thaina Zanon Cruz Jefferson Trivino Sanchez Flavio Nigri Removal of the Retained Ventricular Catheter Using the Endoscopic Monopolar Instrument Case Reports in Surgery |
| title | Removal of the Retained Ventricular Catheter Using the Endoscopic Monopolar Instrument |
| title_full | Removal of the Retained Ventricular Catheter Using the Endoscopic Monopolar Instrument |
| title_fullStr | Removal of the Retained Ventricular Catheter Using the Endoscopic Monopolar Instrument |
| title_full_unstemmed | Removal of the Retained Ventricular Catheter Using the Endoscopic Monopolar Instrument |
| title_short | Removal of the Retained Ventricular Catheter Using the Endoscopic Monopolar Instrument |
| title_sort | removal of the retained ventricular catheter using the endoscopic monopolar instrument |
| url | http://dx.doi.org/10.1155/2021/2880979 |
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