The “SHIFT” Technique: SupraHepatic IntraFalciform Tubing for Placement of Ventriculoperitoneal Shunts
jpedsurg.org shows its articles on its own site.
Read the article on jpedsurg.org ↗Article · Feb 2021 · 1 min read
In brief
In brief
Novel VP shunt placement technique utilizing the falciform ligament and suprahepatic recess to suspend tubing, potentially reducing intra-abdominal complications and adhesions in pediatric hydrocephalus patients. The SHIFT method aims to improve absorption surface area and simplify future revisions.
Written by the GCMD Library team from the article.
Abstract
Ventriculoperitoneal (VP) shunts in pediatric patients are an important aspect of management for patients with hydrocephalus and are fraught with complications. Surgical revision rates for VP shunts in the pediatric population are currently high, which necessitates innovation in operative techniques for placing VP shunts in attempt to decrease complication risks. Here we describe a novel approach for placement of VP shunts that we hypothesize can reduce potential morbidity among pediatric patients. By utilizing the falciform ligament of the liver and the suprahepatic recess to suspend and maintain the shunt, outcomes may portend fewer iatrogenic intra-abdominal injuries, enhanced ease of shunt removal, provide a large surface area for absorption of drained cerebrospinal fluid, and result in fewer adhesions secondary to device placement. We are referring to the operative technique as the "SupraHepatic IntraFalciform Tubing" (SHIFT) technique. In summary, the SHIFT shunt is fashioned by creating a window through the falciform ligament, inserting the shunt, and placing tubing in the suprahepatic recess.