Surgical neurology international · 2022
Creating of "fascial sheath" around subcutaneous lumboperitoneal shunt catheters largely prevents postoperative subcutaneous shunt catheter migration.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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История · было → стало
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Tanaka Tatsuya, Goto Hirofumi, Momozaki Nobuaki, Honda Eiichiro
Аннотация
BACKGROUND: Spinal catheter migration into the subcutaneous tissue is common after lumboperitoneal shunt (LPS) placement. This study proposed a new method (i.e., wrapping fascia around the catheter like a sheath) to prevent LPS spinal catheter migration.
METHODS: After a LPS spinal catheter was inserted under routine fluoroscopic guidance, and the paravertebral muscle fascia was closed, the fascia was sutured to wrap the catheter like a sheath using intermittent sutures.
RESULTS: Before the introduction of this technique, the rate of LPS spinal catheter subcutaneous migration was 4.6%. In this study, following LPS shunt placement in 18 consecutive patients with normal pressure hydrocephalus, no further spinal catheter migrations were observed.
CONCLUSION: This novel method of "wrapping the LPS catheter with intermittent suture like a sheath" was found to be safe and effective for preventing further spinal catheter subcutaneous migration.
METHODS: After a LPS spinal catheter was inserted under routine fluoroscopic guidance, and the paravertebral muscle fascia was closed, the fascia was sutured to wrap the catheter like a sheath using intermittent sutures.
RESULTS: Before the introduction of this technique, the rate of LPS spinal catheter subcutaneous migration was 4.6%. In this study, following LPS shunt placement in 18 consecutive patients with normal pressure hydrocephalus, no further spinal catheter migrations were observed.
CONCLUSION: This novel method of "wrapping the LPS catheter with intermittent suture like a sheath" was found to be safe and effective for preventing further spinal catheter subcutaneous migration.