Abstract
Placing a ventriculo-peritoneal shunt in children with hydrocephalus is the standard of care. Many of these children will require revision of this portion of the shunt for a variety of reasons. Previously, it was thought that in a child with multiple previous ventriculo-peritoneal shunt (VPS) revisions, laparoscopy was contraindicated. This study shows that laparoscopy can be used safely and effectively in children with multiple previous VPS surgeries. Laparoscopically assisted placement of the peritoneal portion of the ventriculo-peritoneal shunt with multiple previous VPS revisions was performed in 8 consecutive children (4 female) with ages ranging from 7 months to 18 years.
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