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Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
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JoVE Journal Medicina
Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus

Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus

DOI:
10.3791/62678-v

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14:59 min

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October 14, 2022

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, ,
1Division of Neurosurgery,University of Calgary, 2Department of Surgery,University of Calgary, 3Adult Hydrocephalus Program, Department of Clinical Neuroscience,University of Calgary

Capitoli

  • 00:05Introduction
  • 02:13Positioning and Pre-Procedure Set-Up
  • 04:09Cranial Exposure
  • 04:43Subcutaneous Distal Catheter Placement
  • 06:03Valve Attachment
  • 06:33Ventricular (Proximal) Catheter Insertion
  • 08:11Intrabdominal (Distal) Catheter Placement
  • 11:14Closure
  • 11:43Representative Results
  • 14:16Conclusion

Summary

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Traduzione automatica

Patient outcomes of ventriculoperitoneal (VP) shunt surgery, the mainstay treatment for hydrocephalus in adults, are poor due to high shunt failure rates. We present intraoperative footage of VP shunt insertion using neuronavigation and laparoscopy guidance, with the goal to reduce the risks of proximal and distal shunt catheter failures, respectively.

Tags

NeuronavigationLaparoscopyVentriculoperitoneal ShuntHydrocephalusIdiopathic Normal Pressure HydrocephalusINPHMagnetic Resonance ImagingMRIEvans IndexGaitCognitive ImpairmentUrinary IncontinenceExternal Lumbar DrainELD TrialCSF RemovalPositioningPre-procedureEntry PointTargetProximal Catheter

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