Abstract

VARELA HERNANDEZ, Ariel et al. Derivación ventrículo-receso suprahepático: Otra opción. Rev Cubana Cir [online]. 2001, vol.40, n.3, pp. 169-175. ISSN 1561-2945.

It is reported that hydrocephalus is a a frequent affection as well as the reoperations caused by failures of the shunt systems used. This fact motivated the introduction of this technique in the Neurosurgery Service of "Manuel Ascunce Domenech" Provincial Clinical and Surgical Hospital of Camagüey. An analysis was made on the usefulness of the ventriculosuprahepatic recess shunt and the frequency of reoperations after using this method was determined, among other variables. A retrospective study of the 4 patients who underwent this pocedure was conducted. Data were obtained from a survey and it was applied the statistical processing by the MICROSTAD program. The commonest origin of hydrocephalus was the acquired idiopathic stenosis of the aqueduct of Sylvius. 3 of the patients had already undergone shunts to the peritoneum and to the right auricle with multiple reoperations. During the follow-up, only 1 patient required a new operation due to the obstruction of the ventricular extreme of the system. This technique has had a great therapeutical usefulness in the treated cases. It is recommended to perform the ventriculosuprahepatic recess shunt after the failure of the shunting to the fundus of the peritoneal sac, excepting those cases with infectious complications

Keywords : HYDROCEPHALUS, NORMAL PRESSURE [surgery]; CEREBROSPINAL FLUID SHUNTS [methods]; NEUROSURGICAL PROCEDURES.

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