Laparoscopic Ovarian Cystectomy in A Patient With Vetriculoperitoneal Shunt: a case report

Authors

  • Ranjana Shrestha MIDAT Hospital, Lagankhel, Lalitpur
  • BR Bhandari MIDAT Hospital, Lagankhel, Lalitpur
  • R Piya MIDAT Hospital, Lagankhel, Lalitpur
  • MR Shrestha MIDAT Hospital, Lagankhel, Lalitpur

Keywords:

intracranial pressure, laparoscopy, pneumoperitoneum, ventriculoperitoneal shunt

Abstract

Ventriculoperitoneal shunt (VPS) is often the best treatment modality for neurologic disorders such as hydrocephalus and pseudotumor cerebri. In recent years, laparoscopic surgery has emerged as a preferred method of accessing and treating a variety of abdominopelvic pathology. Laparoscopic procedures were previously contraindicated in patients of hydrocephalus having a Ventriculoperitoneal (VP) shunt due to shunt obstruction, shunt malfunction, infection and acute elevation of intracranial pressure. Now, conclusive evidence indicating that it is safe to perform laparoscopic surgery in a patient with VP shunt using routine anaesthetic monitoring and without any shunt manipulation. We report a case of successfully performing laparoscopic ovarian cystectomy in a patient with VP shunt.

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Author Biographies

Ranjana Shrestha, MIDAT Hospital, Lagankhel, Lalitpur

Department of Obstetrics and Gynaecology

BR Bhandari, MIDAT Hospital, Lagankhel, Lalitpur

Department of Obstetrics and Gynaecology

R Piya, MIDAT Hospital, Lagankhel, Lalitpur

Ddepartment of Anaesthesiology

MR Shrestha, MIDAT Hospital, Lagankhel, Lalitpur

Department of Anaesthesiology

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Published

2017-06-03

How to Cite

Shrestha, R., Bhandari, B., Piya, R., & Shrestha, M. (2017). Laparoscopic Ovarian Cystectomy in A Patient With Vetriculoperitoneal Shunt: a case report. Nepal Journal of Obstetrics and Gynaecology, 11(2), 52–54. Retrieved from https://nepjol.info./index.php/NJOG/article/view/17464

Issue

Section

Case Reports