Ventriculoperitoneal Shunt Placement

(Cerebral Shunt Placement)

Ven-trick-u-low-perry-tone-e-all Shunt

Definition

A ventriculoperitoneal (VP) shunt placement is surgery to insert a draining device from inside the skull to the abdomen. It allows excess fluid to drain from the brain into the abdomen. The fluid can be reabsorbed in the abdomen.

Reasons for Procedure    TOP

The interior of the brain has 4 spaces called ventricles. The ventricles hold a fluid that bathes and cushions the brain and spinal cord. Certain health conditions and injuries can cause an excess amount of this fluid, called hydrocephalus. Excess fluid creates too much pressure and can lead to brain damage.

VP shunt placement is done to treat hydrocephalus. Half of the ventriculoperitoneal shunts that are placed can successfully drain the excess fluid.

Brain

Copyright © Nucleus Medical Media, Inc.

Possible Complications    TOP

Problems from the procedure are rare, but all procedures have some risk. Your doctor will review potential problems, like:

  • Blockage of the shunt
  • Infection
  • Excess bleeding
  • Blood clots
  • Damage to normal brain tissue
  • Adverse reaction to anesthesia
  • Soreness in throat
  • Nausea and vomiting
  • The need for additional surgery

Smoking may increase your risk of complications.

What to Expect    TOP

Prior to Procedure

The doctor may do the following:

  • Physical exam and medical history
  • Blood tests

Talk to your doctor about your medications. You may be asked to stop taking some medications up to two weeks before the procedure.

Before the procedure, you should:

  • Arrange for a ride home from the hospital.
  • Arrange for help at home, as you recover.
  • Eat a light meal the night before your surgery. Do not eat or drink anything after midnight unless told otherwise by your doctor.
  • Talk to your doctor if you take any medications, herbs, or supplements.

Anesthesia

General anesthesia will be used. You will be asleep during surgery.

Description of the Procedure    TOP

The hair over the area will be shaved. A small incision will be made in the scalp. It may be just past the hairline, on back of the head, or behind the ear. A small hole is then made in the skull. A tube is passed through the hole into a ventricle. A valve is placed on the tube to manage the flow of fluid. A small incision may be made behind the ear to help pass the tube. Another tube is attached to the other side of the valve and is guided under the skin of the skull until it reaches the abdomen. A small incision will also be made in the abdomen to help guide the tube into the correct place in the abdomen. After the tube is in place, the incisions are closed.

Immediately After Procedure    TOP

After the operation, you will be taken to the recovery room for observation.

How Long Will It Take?    TOP

About 2 hours

How Much Will It Hurt?    TOP

Anesthesia will prevent pain during surgery. Pain and discomfort after the procedure can be managed with medications.

Average Hospital Stay    TOP

This is done in a hospital. The usual length of stay is 2-7 days. If you have any problems, you may need to stay longer.

Post-procedure Care    TOP

To help with your recovery at home:

  • Avoid pushing, pulling, and lifting anything heavy for 4 weeks.
  • Do not participate in sports or exercise until your doctor says it is okay.
  • Do not drive for 2 weeks.
  • Follow any instructions on caring for the ventriculoperitoneal shunt.

Call Your Doctor    TOP

Contact your doctor if you are having difficulty managing the ventriculoperitoneal shunt or you develop complications, such as:

  • Evidence of valve blockage as described by your doctor
  • Redness, swelling, increasing pain, excessive bleeding, or discharge from the incision site
  • Signs of infection, including fever and chills
  • Pain that you cannot control with the medications that you were given
  • Nausea and vomiting
  • Lightheadedness and fainting
  • Severe headache
  • Changes in vision
  • Confusion
  • Memory loss
  • Difficulty speaking
  • Clear fluid draining from the incision site

If you think you have an emergency, call for emergency medical services right away.

RESOURCES:

Family Doctor—American Academy of Family Physicians
http://www.familydoctor.org
Hydrocephalus Association
http://www.hydroassoc.org

CANADIAN RESOURCES:

Canadian Neurological Sciences Federation
http://www.cnsfederation.org
Spina Bifida & Hydrocephalus Canada
http://www.sbhac.ca

References:

Ventriculoperitoneal shunt. NeuroSurgery PA website. Available at:
...(Click grey area to select URL)
Accessed December 1, 2014.
Ventriculo-peritoneal shunt. University of Rochester Medical Center website. Available at:
...(Click grey area to select URL)
Accessed December 1, 2014.
Ventriculoperitoneal VP shunt placement. Holy Cross Hospital website. Available at:
...(Click grey area to select URL)
Accessed December 1, 2014.
Last reviewed November 2015 by Rimas Lukas, MD
Last Updated: 12/20/2014

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