Ventricular Peritoneal Shunting Using Modified Keen’s Point Approach: Technical Report and Cases Series

<b<Background:</b< Ventricular peritoneal shunting (VPS) is a frequent procedure in neurosurgery, unfortunately still burdened with a significant rate of complications. The frontal Kocher’s point is the most frequently used landmark for ventricular puncture. Keen’s point (posterior parie...
Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Elena Virginia Colombo [verfasserIn] Daniele Bongetta [verfasserIn] Fabio Cofano [verfasserIn] Alessandro Versace [verfasserIn] Diego Garbossa [verfasserIn] Alessandro Bertuccio [verfasserIn] Daniele Armocida [verfasserIn] Patrizia d’Auria [verfasserIn] Lisa Maria Farina [verfasserIn] Roberto Assietti [verfasserIn] Fulvio Tartara [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2022

Schlagwörter:	ventriculo-peritoneal shunt communicating hydrocephalus ventricular landmark shunt infection shunt revision surgery

Übergeordnetes Werk:	In: Surgeries - MDPI AG, 2020, 3(2022), 4, Seite 314-322
Übergeordnetes Werk:	volume:3 ; year:2022 ; number:4 ; pages:314-322

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.3390/surgeries3040034

Katalog-ID:	DOAJ082975698

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520			\|a <b<Background:</b< Ventricular peritoneal shunting (VPS) is a frequent procedure in neurosurgery, unfortunately still burdened with a significant rate of complications. The frontal Kocher’s point is the most frequently used landmark for ventricular puncture. Keen’s point (posterior parietal approach) seems to be a valid alternative. We report a newly described access to the lateral ventricle located in posterior temporal area and the results of a large series of adult patients. <b<Methods:</b< Retrospective analysis of a series of 188 cases of VPS performed with this approach. <b<Results:</b< Mean surgical time was 51.5 +/− 13.1 min (range 25–90 min). Twenty-one patients (11.2%) were subjected to revision surgery: eight cases (4.3%) for displacement or malfunction of ventricular catheter, eight cases (4.3%) for abdominal issues, three cases (1.6%) for hardware failure, and two cases (1.1%) for infection. Optimal catheter placement was reached in 90.1%. <b<Conclusions:</b< The modified Keen’s point approach seems to be safe, technically feasible, and reproducible, showing some potential advantages such as short surgical time, precision in ventricular catheter placement, and short tunneling tract. The need for surgical revision is similar to that reported in the literature, while the rate of catheter malpositioning and infections seems to be low; hemorrhages around catheter and seizures were not reported.
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spelling	10.3390/surgeries3040034 doi (DE-627)DOAJ082975698 (DE-599)DOAJ1de3a1d769794e9d84aefdf6823f5ac4 DE-627 ger DE-627 rakwb eng RD1-811 Elena Virginia Colombo verfasserin aut Ventricular Peritoneal Shunting Using Modified Keen’s Point Approach: Technical Report and Cases Series 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <b<Background:</b< Ventricular peritoneal shunting (VPS) is a frequent procedure in neurosurgery, unfortunately still burdened with a significant rate of complications. The frontal Kocher’s point is the most frequently used landmark for ventricular puncture. Keen’s point (posterior parietal approach) seems to be a valid alternative. We report a newly described access to the lateral ventricle located in posterior temporal area and the results of a large series of adult patients. <b<Methods:</b< Retrospective analysis of a series of 188 cases of VPS performed with this approach. <b<Results:</b< Mean surgical time was 51.5 +/− 13.1 min (range 25–90 min). Twenty-one patients (11.2%) were subjected to revision surgery: eight cases (4.3%) for displacement or malfunction of ventricular catheter, eight cases (4.3%) for abdominal issues, three cases (1.6%) for hardware failure, and two cases (1.1%) for infection. Optimal catheter placement was reached in 90.1%. <b<Conclusions:</b< The modified Keen’s point approach seems to be safe, technically feasible, and reproducible, showing some potential advantages such as short surgical time, precision in ventricular catheter placement, and short tunneling tract. The need for surgical revision is similar to that reported in the literature, while the rate of catheter malpositioning and infections seems to be low; hemorrhages around catheter and seizures were not reported. ventriculo-peritoneal shunt communicating hydrocephalus ventricular landmark shunt infection shunt revision surgery Surgery Daniele Bongetta verfasserin aut Fabio Cofano verfasserin aut Alessandro Versace verfasserin aut Diego Garbossa verfasserin aut Alessandro Bertuccio verfasserin aut Daniele Armocida verfasserin aut Patrizia d’Auria verfasserin aut Lisa Maria Farina verfasserin aut Roberto Assietti verfasserin aut Fulvio Tartara verfasserin aut In Surgeries MDPI AG, 2020 3(2022), 4, Seite 314-322 (DE-627)1698224338 26734095 nnns volume:3 year:2022 number:4 pages:314-322 https://doi.org/10.3390/surgeries3040034 kostenfrei https://doaj.org/article/1de3a1d769794e9d84aefdf6823f5ac4 kostenfrei https://www.mdpi.com/2673-4095/3/4/34 kostenfrei https://doaj.org/toc/2673-4095 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 3 2022 4 314-322
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allfieldsSound	10.3390/surgeries3040034 doi (DE-627)DOAJ082975698 (DE-599)DOAJ1de3a1d769794e9d84aefdf6823f5ac4 DE-627 ger DE-627 rakwb eng RD1-811 Elena Virginia Colombo verfasserin aut Ventricular Peritoneal Shunting Using Modified Keen’s Point Approach: Technical Report and Cases Series 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <b<Background:</b< Ventricular peritoneal shunting (VPS) is a frequent procedure in neurosurgery, unfortunately still burdened with a significant rate of complications. The frontal Kocher’s point is the most frequently used landmark for ventricular puncture. Keen’s point (posterior parietal approach) seems to be a valid alternative. We report a newly described access to the lateral ventricle located in posterior temporal area and the results of a large series of adult patients. <b<Methods:</b< Retrospective analysis of a series of 188 cases of VPS performed with this approach. <b<Results:</b< Mean surgical time was 51.5 +/− 13.1 min (range 25–90 min). Twenty-one patients (11.2%) were subjected to revision surgery: eight cases (4.3%) for displacement or malfunction of ventricular catheter, eight cases (4.3%) for abdominal issues, three cases (1.6%) for hardware failure, and two cases (1.1%) for infection. Optimal catheter placement was reached in 90.1%. <b<Conclusions:</b< The modified Keen’s point approach seems to be safe, technically feasible, and reproducible, showing some potential advantages such as short surgical time, precision in ventricular catheter placement, and short tunneling tract. The need for surgical revision is similar to that reported in the literature, while the rate of catheter malpositioning and infections seems to be low; hemorrhages around catheter and seizures were not reported. ventriculo-peritoneal shunt communicating hydrocephalus ventricular landmark shunt infection shunt revision surgery Surgery Daniele Bongetta verfasserin aut Fabio Cofano verfasserin aut Alessandro Versace verfasserin aut Diego Garbossa verfasserin aut Alessandro Bertuccio verfasserin aut Daniele Armocida verfasserin aut Patrizia d’Auria verfasserin aut Lisa Maria Farina verfasserin aut Roberto Assietti verfasserin aut Fulvio Tartara verfasserin aut In Surgeries MDPI AG, 2020 3(2022), 4, Seite 314-322 (DE-627)1698224338 26734095 nnns volume:3 year:2022 number:4 pages:314-322 https://doi.org/10.3390/surgeries3040034 kostenfrei https://doaj.org/article/1de3a1d769794e9d84aefdf6823f5ac4 kostenfrei https://www.mdpi.com/2673-4095/3/4/34 kostenfrei https://doaj.org/toc/2673-4095 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 3 2022 4 314-322
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callnumber-first	R - Medicine
author	Elena Virginia Colombo
spellingShingle	Elena Virginia Colombo misc RD1-811 misc ventriculo-peritoneal shunt misc communicating hydrocephalus misc ventricular landmark misc shunt infection misc shunt revision surgery misc Surgery Ventricular Peritoneal Shunting Using Modified Keen’s Point Approach: Technical Report and Cases Series
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topic_title	RD1-811 Ventricular Peritoneal Shunting Using Modified Keen’s Point Approach: Technical Report and Cases Series ventriculo-peritoneal shunt communicating hydrocephalus ventricular landmark shunt infection shunt revision surgery
topic	misc RD1-811 misc ventriculo-peritoneal shunt misc communicating hydrocephalus misc ventricular landmark misc shunt infection misc shunt revision surgery misc Surgery
topic_unstemmed	misc RD1-811 misc ventriculo-peritoneal shunt misc communicating hydrocephalus misc ventricular landmark misc shunt infection misc shunt revision surgery misc Surgery
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title	Ventricular Peritoneal Shunting Using Modified Keen’s Point Approach: Technical Report and Cases Series
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title_full	Ventricular Peritoneal Shunting Using Modified Keen’s Point Approach: Technical Report and Cases Series
author_sort	Elena Virginia Colombo
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author_browse	Elena Virginia Colombo Daniele Bongetta Fabio Cofano Alessandro Versace Diego Garbossa Alessandro Bertuccio Daniele Armocida Patrizia d’Auria Lisa Maria Farina Roberto Assietti Fulvio Tartara
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title_sort	ventricular peritoneal shunting using modified keen’s point approach: technical report and cases series
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title_auth	Ventricular Peritoneal Shunting Using Modified Keen’s Point Approach: Technical Report and Cases Series
abstract	<b<Background:</b< Ventricular peritoneal shunting (VPS) is a frequent procedure in neurosurgery, unfortunately still burdened with a significant rate of complications. The frontal Kocher’s point is the most frequently used landmark for ventricular puncture. Keen’s point (posterior parietal approach) seems to be a valid alternative. We report a newly described access to the lateral ventricle located in posterior temporal area and the results of a large series of adult patients. <b<Methods:</b< Retrospective analysis of a series of 188 cases of VPS performed with this approach. <b<Results:</b< Mean surgical time was 51.5 +/− 13.1 min (range 25–90 min). Twenty-one patients (11.2%) were subjected to revision surgery: eight cases (4.3%) for displacement or malfunction of ventricular catheter, eight cases (4.3%) for abdominal issues, three cases (1.6%) for hardware failure, and two cases (1.1%) for infection. Optimal catheter placement was reached in 90.1%. <b<Conclusions:</b< The modified Keen’s point approach seems to be safe, technically feasible, and reproducible, showing some potential advantages such as short surgical time, precision in ventricular catheter placement, and short tunneling tract. The need for surgical revision is similar to that reported in the literature, while the rate of catheter malpositioning and infections seems to be low; hemorrhages around catheter and seizures were not reported.
abstractGer	<b<Background:</b< Ventricular peritoneal shunting (VPS) is a frequent procedure in neurosurgery, unfortunately still burdened with a significant rate of complications. The frontal Kocher’s point is the most frequently used landmark for ventricular puncture. Keen’s point (posterior parietal approach) seems to be a valid alternative. We report a newly described access to the lateral ventricle located in posterior temporal area and the results of a large series of adult patients. <b<Methods:</b< Retrospective analysis of a series of 188 cases of VPS performed with this approach. <b<Results:</b< Mean surgical time was 51.5 +/− 13.1 min (range 25–90 min). Twenty-one patients (11.2%) were subjected to revision surgery: eight cases (4.3%) for displacement or malfunction of ventricular catheter, eight cases (4.3%) for abdominal issues, three cases (1.6%) for hardware failure, and two cases (1.1%) for infection. Optimal catheter placement was reached in 90.1%. <b<Conclusions:</b< The modified Keen’s point approach seems to be safe, technically feasible, and reproducible, showing some potential advantages such as short surgical time, precision in ventricular catheter placement, and short tunneling tract. The need for surgical revision is similar to that reported in the literature, while the rate of catheter malpositioning and infections seems to be low; hemorrhages around catheter and seizures were not reported.
abstract_unstemmed	<b<Background:</b< Ventricular peritoneal shunting (VPS) is a frequent procedure in neurosurgery, unfortunately still burdened with a significant rate of complications. The frontal Kocher’s point is the most frequently used landmark for ventricular puncture. Keen’s point (posterior parietal approach) seems to be a valid alternative. We report a newly described access to the lateral ventricle located in posterior temporal area and the results of a large series of adult patients. <b<Methods:</b< Retrospective analysis of a series of 188 cases of VPS performed with this approach. <b<Results:</b< Mean surgical time was 51.5 +/− 13.1 min (range 25–90 min). Twenty-one patients (11.2%) were subjected to revision surgery: eight cases (4.3%) for displacement or malfunction of ventricular catheter, eight cases (4.3%) for abdominal issues, three cases (1.6%) for hardware failure, and two cases (1.1%) for infection. Optimal catheter placement was reached in 90.1%. <b<Conclusions:</b< The modified Keen’s point approach seems to be safe, technically feasible, and reproducible, showing some potential advantages such as short surgical time, precision in ventricular catheter placement, and short tunneling tract. The need for surgical revision is similar to that reported in the literature, while the rate of catheter malpositioning and infections seems to be low; hemorrhages around catheter and seizures were not reported.
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title_short	Ventricular Peritoneal Shunting Using Modified Keen’s Point Approach: Technical Report and Cases Series
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