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Laparoscopic Assisted Insertion of Thecoperitoneal Shunt, Simple Technique in a Single Institution Experience, and Comparison with Traditional Minilaparotomy.

Zagazig Univeristy Medical Journal • 2022
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Publication Information
Authors Mohammed Hammad Eltantawy, MD, Ashraf El-Desouky, MD, Ahmed Nawar, MD, Ahmed A. Arab, MD
Keywords Thecoperitoneal shunt, Laparoscopic assisted, Minilaparotomy, Idiopathic Intracranial Hypertension.
Journal Zagazig Univeristy Medical Journal
Publisher Not Available
Volume 28
Issue 6
Pages 1494 - 1504
publication.type Local
Paper Link Open Link
Supplementary Materials Not Available
Abstract
Background: Thecoperitoneal shunts are the gold standard surgical treatment of
Idiopathic Intracranial Hypertension after failure of conservative treatment. Many
complications were encountered with traditional minilaparotomy incision for distal
shunt placement specially in obese patients. We described our laparoscopic technique
for distal shunt placement and compared our results with the minilaparotomy.
Methods: 20 patients prospectively were operated for IIH by laparoscopic technique
from May 2017 to June 2019, and retrospectively we compared another 20 patients
who were operated with the minilaparotomy technique from June 2015 to August
2017 in our institution. Data were collected regarding age, weight, abdominal
circumference, history of previous abdominal surgeries, postoperative complications,
time of surgery, blood loss, need for repeated revisions, hospital stay, and patient
satisfaction. Data were analyzed for comparison between the two groups and P-value
was considered significant if