Abstract

Ventriculoperitoneal shunts remain the standard of care for the treatment of hydrocephalus. However, for patients at risk of abdominal infection (e.g. following appendiceal rupture), those with a recent history of multiple abdominal surgeries, or for those who experience persistent symptoms due to inadequate absorption and possible pseudocyst, the ventriculopleural shunt (VPL) is a viable alternative.

Highlights

  • Ventriculoperitoneal shunts remain the standard of care for the treatment of hydrocephalus

  • We identified pediatric patients who underwent their initial ventriculopleural shunt (VPL) insertion at our institution from 1977-2013

  • The hazard ratio of undergoing a shunt reoperation for patients under twelve was 1.9 in comparison to either of the two older patient groups

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Summary

Introduction

Ventriculoperitoneal shunts remain the standard of care for the treatment of hydrocephalus. For patients at risk of abdominal infection (e.g. following appendiceal rupture), those with a recent history of multiple abdominal surgeries, or for those who experience persistent symptoms due to inadequate absorption and possible pseudocyst, the ventriculopleural shunt (VPL) is a viable alternative

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