{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T10:55:30Z","timestamp":1788519330626,"version":"build-2803163510"},"reference-count":16,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T00:00:00Z","timestamp":1758758400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T00:00:00Z","timestamp":1758758400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100001794","name":"The University of Queensland","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100001794","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Childs Nerv Syst"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>There is currently little evidence to guide the management of ventricular-peritoneal shunts during subsequent intraperitoneal procedures, and the influence of these procedures on the risk of shunt malfunction is poorly understood.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A ten-year single institution retrospective analysis was undertaken to identify all paediatric patients with ventriculoperitoneal shunts. Statewide electronic medical records were reviewed to determine whether the patient had undergone any subsequent intraperitoneal procedures, and if so, how the shunt was managed during the procedure. Intraperitoneal procedures were divided into elective and emergency categories. Shunt survival was compared with patients not undergoing subsequent intraperitoneal procedures in time-dependent univariate and multivariate Cox proportional hazard models.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 1084 shunt-related procedures were performed in 472 patients, of which 45 patients underwent elective and 15 patients underwent emergency intraperitoneal procedures during a mean follow-up of 4.85 years. The most common elective procedures were considered \u2018clean\u2019 procedures\u2014gastrostomies 17 (38%) and hernia repairs 13 (29%), in addition to 8 (18%) \u2018clean-contaminated\u2019 colostomy or colectomy procedures. No significant association of elective intraperitoneal procedures with earlier shunt failure was found on univariate or multivariate analysis (HR 1.18, 95% CI 0.57\u20132.44,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.66). Of patients presenting with an acute abdomen requiring surgical intervention, 4\/15 (27%) were secondary to shunt infection, which increases to 4\/6 (66%) in those without a clear preoperative alternative diagnosis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The performance of an elective intra-peritoneal procedure on a patient with a ventriculoperitoneal shunt in situ does not appear to increase the risk of subsequent shunt malfunction.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00381-025-06963-6","type":"journal-article","created":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T06:30:00Z","timestamp":1758781800000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Elective intraperitoneal procedures do not adversely impact paediatric ventriculoperitoneal shunt survival: 10-year retrospective cohort study"],"prefix":"10.1007","volume":"41","author":[{"given":"Tom","family":"Hoy","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annabelle M.","family":"Harbison","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert A. J.","family":"Campbell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liam G.","family":"Coulthard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel E.","family":"Colbran","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael J.","family":"Stuart","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,9,25]]},"reference":[{"issue":"8","key":"6963_CR1","doi-asserted-by":"publisher","first-page":"359","DOI":"10.1016\/j.ejmg.2014.06.002","volume":"57","author":"HM Tully","year":"2014","unstructured":"Tully HM, Dobyns WB (2014) Infantile hydrocephalus: a review of epidemiology, classification and causes. Eur J Med Genet 57(8):359\u2013368","journal-title":"Eur J Med Genet"},{"issue":"6","key":"6963_CR2","doi-asserted-by":"publisher","first-page":"633","DOI":"10.3171\/2015.5.PEDS14532","volume":"16","author":"AH Paulsen","year":"2015","unstructured":"Paulsen AH, Lundar T, Lindegaard KF (2015) Pediatric hydrocephalus: 40-year outcomes in 128 hydrocephalic patients treated with shunts during childhood. Assessment of surgical outcome, work participation, and health-related quality of life. J Neurosurg Pediatr 16(6):633\u2013641","journal-title":"J Neurosurg Pediatr"},{"issue":"1","key":"6963_CR3","doi-asserted-by":"publisher","first-page":"21","DOI":"10.4103\/0971-9261.145440","volume":"20","author":"SJ Crankson","year":"2015","unstructured":"Crankson SJ, Al Tawil K, Al Namshan M, Al Jadaan S, Baylon BJ, Gieballa M et al (2015) Management of inguinal hernia in premature infants: 10-year experience. J Indian Assoc Pediatr Surg 20(1):21\u201324","journal-title":"J Indian Assoc Pediatr Surg"},{"issue":"3","key":"6963_CR4","doi-asserted-by":"publisher","first-page":"609","DOI":"10.1007\/s00381-022-05774-3","volume":"39","author":"SH Wright","year":"2023","unstructured":"Wright SH, Blumenow W, Kumar R, Mallucci C, Felton A, McMahon S et al (2023) Prevalence of dysphagia following posterior fossa tumour resection in children: the Alder Hey experience. Childs Nerv Syst 39(3):609\u2013616","journal-title":"Childs Nerv Syst"},{"issue":"3","key":"6963_CR5","volume":"14","author":"DR Hallan","year":"2022","unstructured":"Hallan DR, Eberly H, Rizk E (2022) Appendicitis and presence of a ventriculoperitoneal (VP) shunt. Cureus 14(3):e23491","journal-title":"Cureus"},{"issue":"5","key":"6963_CR6","doi-asserted-by":"publisher","first-page":"492","DOI":"10.1016\/j.surneu.2007.08.050","volume":"70","author":"G Li","year":"2008","unstructured":"Li G, Dutta S (2008) Perioperative management of ventriculoperitoneal shunts during abdominal surgery. Surg Neurol 70(5):492\u2013495","journal-title":"Surg Neurol"},{"issue":"5 Suppl","key":"6963_CR7","first-page":"365","volume":"107","author":"CJ Bui","year":"2007","unstructured":"Bui CJ, Tubbs RS, Pate G, Morgan T, Barnhart DC, Acakpo-Satchivi L et al (2007) Infections of pediatric cerebrospinal fluid shunts related to fundoplication and gastrostomy. J Neurosurg 107(5 Suppl):365\u2013367","journal-title":"J Neurosurg"},{"issue":"1","key":"6963_CR8","doi-asserted-by":"publisher","first-page":"40","DOI":"10.3109\/02688697.2013.815322","volume":"28","author":"CA Li","year":"2014","unstructured":"Li CA, Humphrey G, Kamaly-Asl ID (2014) Ventriculoperitoneal shunt survival in children who require additional abdominal surgery\u2013are our estimations of the additional risk accurate? Br J Neurosurg 28(1):40\u201348","journal-title":"Br J Neurosurg"},{"issue":"1","key":"6963_CR9","doi-asserted-by":"publisher","first-page":"22","DOI":"10.3171\/2011.4.PEDS10551","volume":"8","author":"JR Kestle","year":"2011","unstructured":"Kestle JR, Riva-Cambrin J, Wellons JC 3rd, Kulkarni AV, Whitehead WE, Walker ML et al (2011) A standardized protocol to reduce cerebrospinal fluid shunt infection: the Hydrocephalus Clinical Research Network Quality Improvement Initiative. J Neurosurg Pediatr 8(1):22\u201329","journal-title":"J Neurosurg Pediatr"},{"key":"6963_CR10","unstructured":"Neurosurgical Society of Australasia. The Australasian Shunt Registry Annual Report, 2023 2023 [updated 31 Dec 2023. Available from:  https:\/\/www.nsa.org.au\/Public\/Public\/Shunt_Registry\/Reports. Accessed 14\u00a0Feb 2025"},{"key":"6963_CR11","doi-asserted-by":"publisher","DOI":"10.3171\/2024.11.PEDS24513","author":"MJ Stuart","year":"2025","unstructured":"Stuart MJ, Harbison AM, Ruder T, Hackney J, Jardim AJ, Ma N (2025) The utility of routine intraoperative CSF during ventricular shunt insertion: a 10-year retrospective cohort study. J Neurosurg Pediatr. https:\/\/doi.org\/10.3171\/2024.11.PEDS24513","journal-title":"J Neurosurg Pediatr"},{"key":"6963_CR12","doi-asserted-by":"publisher","DOI":"10.3171\/2024.12.PEDS24496","author":"MJ Stuart","year":"2025","unstructured":"Stuart MJ, Harbison AM, Ruder T, Hackney J, Ma N, Campbell RAJ et al (2025) The risks of omitting routine postoperative imaging after insertion of new ventricular shunts in children: a 10-year retrospective cohort study. J Neurosurg Pediatr. https:\/\/doi.org\/10.3171\/2024.12.PEDS24496","journal-title":"J Neurosurg Pediatr"},{"issue":"180\u20138","key":"6963_CR13","volume":"152","author":"C Gerges","year":"2021","unstructured":"Gerges C, Wijesekera O, Herring E, Adesina A, Wright CH, Woodard J et al (2021) Evaluation of risk of gastrostomy and ventriculoperitoneal shunt placement in pediatric patients: a systematic review of the literature. World Neurosurg 152(180\u20138):e1","journal-title":"World Neurosurg"},{"issue":"4","key":"6963_CR14","doi-asserted-by":"publisher","first-page":"899","DOI":"10.3171\/2016.8.JNS152701","volume":"127","author":"LH Oterdoom","year":"2017","unstructured":"Oterdoom LH, Marinus Oterdoom DL, Ket JCF, van Dijk JMC, Scholten P (2017) Systematic review of ventricular peritoneal shunt and percutaneous endoscopic gastrostomy: a safe combination. J Neurosurg 127(4):899\u2013904","journal-title":"J Neurosurg"},{"issue":"4","key":"6963_CR15","doi-asserted-by":"publisher","first-page":"327","DOI":"10.3171\/2024.10.PEDS24454","volume":"35","author":"AM Yengo-Kahn","year":"2025","unstructured":"Yengo-Kahn AM, Wellons JC, Jensen H, Kulkarni AV, Chu JK, Hauptman JS et al (2025) Reimagining durability of hydrocephalus treatment using conditional survival. J Neurosurg Pediatr 35(4):327\u2013337","journal-title":"J Neurosurg Pediatr"},{"key":"6963_CR16","doi-asserted-by":"publisher","first-page":"153","DOI":"10.1016\/j.jss.2019.11.029","volume":"248","author":"S Kaestner","year":"2020","unstructured":"Kaestner S, Fraij A, Fass J, Deinsberger W (2020) Ventriculoperitoneal shunt infections cause acute abdomen and peritonitis: a case series. J Surg Res 248:153\u2013158","journal-title":"J Surg Res"}],"container-title":["Child's Nervous System"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00381-025-06963-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00381-025-06963-6","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00381-025-06963-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T13:18:47Z","timestamp":1770815927000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00381-025-06963-6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,25]]},"references-count":16,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,12]]}},"alternative-id":["6963"],"URL":"https:\/\/doi.org\/10.1007\/s00381-025-06963-6","relation":{},"ISSN":["0256-7040","1433-0350"],"issn-type":[{"value":"0256-7040","type":"print"},{"value":"1433-0350","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,25]]},"assertion":[{"value":"30 June 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 September 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"25 September 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"290"}}