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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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Autores principales: Pontes, Julia Pereira Muniz, Costa Ferreira-Pinto, Pedro Henrique, Simoes, Elington Lannes, Cruz, Thaina Zanon, Sanchez, Jefferson Trivino, Nigri, Flavio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8739909/
https://www.ncbi.nlm.nih.gov/pubmed/35003819
http://dx.doi.org/10.1155/2021/2880979
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author Pontes, Julia Pereira Muniz
Costa Ferreira-Pinto, Pedro Henrique
Simoes, Elington Lannes
Cruz, Thaina Zanon
Sanchez, Jefferson Trivino
Nigri, Flavio
author_facet Pontes, Julia Pereira Muniz
Costa Ferreira-Pinto, Pedro Henrique
Simoes, Elington Lannes
Cruz, Thaina Zanon
Sanchez, Jefferson Trivino
Nigri, Flavio
author_sort Pontes, Julia Pereira Muniz
collection PubMed
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.
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spelling pubmed-87399092022-01-08 Removal of the Retained Ventricular Catheter Using the Endoscopic Monopolar Instrument Pontes, Julia Pereira Muniz Costa Ferreira-Pinto, Pedro Henrique Simoes, Elington Lannes Cruz, Thaina Zanon Sanchez, Jefferson Trivino Nigri, Flavio Case Rep Surg Case Report 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. Hindawi 2021-12-30 /pmc/articles/PMC8739909/ /pubmed/35003819 http://dx.doi.org/10.1155/2021/2880979 Text en Copyright © 2021 Julia Pereira Muniz Pontes et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Pontes, Julia Pereira Muniz
Costa Ferreira-Pinto, Pedro Henrique
Simoes, Elington Lannes
Cruz, Thaina Zanon
Sanchez, Jefferson Trivino
Nigri, Flavio
Removal of the Retained Ventricular Catheter Using the Endoscopic Monopolar Instrument
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
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8739909/
https://www.ncbi.nlm.nih.gov/pubmed/35003819
http://dx.doi.org/10.1155/2021/2880979
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