{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T14:12:02Z","timestamp":1790950322945,"version":"4.1.0"},"reference-count":25,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2021,7,27]],"date-time":"2021-07-27T00:00:00Z","timestamp":1627344000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aornjournal.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["AORN Journal"],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>Hydrocephalus is caused by the disruption of the normal flow of cerebrospinal fluid (CSF), which results in a buildup of CSF. Hydrocephalus comprises two key categories: communicating and noncommunicating. Normal\u2010pressure hydrocephalus, a type of communicating hydrocephalus, currently has no cure; the main treatment option is ventriculoperitoneal shunt (VPS) placement surgery. This procedure is performed to reestablish the balance between CSF production, flow, and absorption. Recently, general surgeons have begun assisting the neurosurgeon by placing the distal or abdominal end of the shunt using a laparoscopic technique. This article briefly reviews the pathophysiology and treatment options for hydrocephalus; presents a thorough review of the laparoscopic\u2010assisted VPS placement procedure, as well as the expected perioperative course and care considerations; and concludes with a case study of a 68\u2010year\u2010old patient who undergoes a laparoscopic\u2010assisted VPS placement.<\/jats:p>","DOI":"10.1002\/aorn.13467","type":"journal-article","created":{"date-parts":[[2021,7,27]],"date-time":"2021-07-27T13:47:56Z","timestamp":1627393676000},"page":"133-146","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Laparoscopic\u2010Assisted Ventriculoperitoneal Shunt Placement: A Less Invasive Approach to Treating Hydrocephalus"],"prefix":"10.1002","volume":"114","author":[{"given":"Beth","family":"Karasin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren","family":"Eskuchen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tara","family":"Hardinge","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johanna","family":"Watkinson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monica","family":"Grzelak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marissa","family":"Boyce","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,7,27]]},"reference":[{"key":"e_1_2_25_2_1","unstructured":"About hydrocephalus. Hydrocephalus Association.https:\/\/www.hydroassoc.org\/hydrocephalus\/. Accessed March 25 2021."},{"key":"e_1_2_25_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.26.1.1"},{"key":"e_1_2_25_4_1","doi-asserted-by":"publisher","DOI":"10.1055\/b-006-149702"},{"key":"e_1_2_25_5_1","unstructured":"JohnsonKS SextonDJ.Cerebrospinal fluid: physiology and utility of an examination in disease states. UpToDate.https:\/\/www.uptodate.com\/contents\/cerebrospinal-fluid-physiology-and-utility-of-an-examination-in-disease-states. Updated May 28 2019. Accessed December 29 2020."},{"key":"e_1_2_25_6_1","unstructured":"Hydrocephalus fact sheet. National Institute of Neurological Disorders and Stroke.https:\/\/www.ninds.nih.gov\/Disorders\/Patient-Caregiver-Education\/Fact-Sheets\/Hydrocephalus-Fact-Sheet. Updated May 13 2020. Acessed March 25 2021."},{"issue":"5","key":"e_1_2_25_7_1","first-page":"1166","article-title":"Idiopathic normal pressure hydrocephalus: a systematic review of diagnosis and outcome","volume":"49","author":"Hebb AO","year":"2001","journal-title":"Neurosurgery."},{"key":"e_1_2_25_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.13331"},{"key":"e_1_2_25_9_1","unstructured":"Graff-RadfordNR.Normal pressure hydrocephalus. UpToDate.https:\/\/www.uptodate.com\/contents\/normal-pressure-hydrocephalus. Updated February 11 2020. Accessed April 2 2021."},{"key":"e_1_2_25_10_1","unstructured":"About normal pressure hydrocephalus. Hydrocephelus Association.https:\/\/www.hydroassoc.org\/normal-pressure-hydrocephalus\/. Accessed March 25 2021."},{"key":"e_1_2_25_11_1","unstructured":"20 powerful facts about hydrocephalus. Hydrocephalus Association.https:\/\/www.hydroassoc.org\/powerful-facts\/. Accessed April 2 2021."},{"key":"e_1_2_25_12_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0b013e31825fdf8a"},{"key":"e_1_2_25_13_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0034-1371516"},{"key":"e_1_2_25_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2019.12.086"},{"key":"e_1_2_25_15_1","doi-asserted-by":"publisher","DOI":"10.4103\/1793-5482.136717"},{"key":"e_1_2_25_16_1","first-page":"1","volume-title":"Alexander\u2019s Care of the Patient in Surgery","author":"Cuming RG","year":"2020"},{"key":"e_1_2_25_17_1","first-page":"755","volume-title":"Alexander\u2019s Care of the Patient in Surgery","author":"Murphy MP","year":"2020"},{"key":"e_1_2_25_18_1","first-page":"54","volume-title":"Alexander\u2019s Care of the Patient in Surgery","author":"King CA","year":"2020"},{"key":"e_1_2_25_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-323-52377-6.00007-0"},{"key":"e_1_2_25_20_1","unstructured":"About Your Ventriculoperitoneal (VP) Shunt Surgery. Memorial Sloan Kettering Cancer Center.https:\/\/www.mskcc.org\/cancer-care\/patient-education\/about-your-ventriculoperitoneal-vp-shunt-surgery. Updated January 8 2021. Accessed May 3 2021."},{"key":"e_1_2_25_21_1","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciw861"},{"key":"e_1_2_25_22_1","doi-asserted-by":"publisher","DOI":"10.1086\/588298"},{"key":"e_1_2_25_23_1","doi-asserted-by":"publisher","DOI":"10.3171\/2012.9.PEDS1298"},{"key":"e_1_2_25_24_1","doi-asserted-by":"publisher","DOI":"10.3109\/02688697.2011.651514"},{"key":"e_1_2_25_25_1","doi-asserted-by":"publisher","DOI":"10.1097\/INF.0b013e31824c04a5"},{"key":"e_1_2_25_26_1","first-page":"400","volume-title":"Alexander\u2019s Care of the Patient in Surgery","author":"Carzo SA","year":"2020"}],"container-title":["AORN Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/aorn.13467","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/aorn.13467","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aornjournal.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/aorn.13467","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,29]],"date-time":"2023-08-29T05:37:41Z","timestamp":1693287461000},"score":1,"resource":{"primary":{"URL":"https:\/\/aornjournal.onlinelibrary.wiley.com\/doi\/10.1002\/aorn.13467"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7,27]]},"references-count":25,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2021,8]]}},"alternative-id":["10.1002\/aorn.13467"],"URL":"https:\/\/doi.org\/10.1002\/aorn.13467","archive":["Portico"],"relation":{},"ISSN":["0001-2092","1878-0369"],"issn-type":[{"value":"0001-2092","type":"print"},{"value":"1878-0369","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,7,27]]},"assertion":[{"value":"2021-01-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-02-08","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-07-27","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}