{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,21]],"date-time":"2026-02-21T20:54:40Z","timestamp":1771707280255,"version":"3.50.1"},"reference-count":29,"publisher":"FapUNIFESP (SciELO)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arq. Neuro-Psiquiatr."],"published-print":{"date-parts":[[2014,4]]},"abstract":"<jats:p>Multiple shunt failure is a challenge in pediatric neurosurgery practice and one of the most feared complications of hydrocephalus. Objective: To demonstrate that laparoscopic procedures for distal ventriculoperitoneal shunt failure may be an effective option for patients who underwent multiple revisions due to repetitive manipulation of the peritoneal cavity, abdominal pseudocyst, peritonitis or other situations leading to a \u201cnon reliable\u201d peritoneum. Method: From March 2012 to February 2013, the authors reviewed retrospectively the charts of six patients born and followed up at our institution, which presented with previous intra-peritoneal complications and underwent ventriculoperitoneal shunt revision assisted by video laparoscopy. Results: After a mean follow-up period of nine months, all patients are well and no further shunt failure was identified so far. Conclusion: Laparoscopy assisted shunt revision in children may be, in selected cases, an effective option for patients with multiple peritoneal complications due to ventriculo-peritoneal shunting.<\/jats:p>","DOI":"10.1590\/0004-282x20140007","type":"journal-article","created":{"date-parts":[[2017,3,8]],"date-time":"2017-03-08T15:43:11Z","timestamp":1488987791000},"page":"307-311","source":"Crossref","is-referenced-by-count":12,"title":["Laparoscopic assisted ventriculoperitoneal shunt revisions as an option for pediatric patients with previous intraabdominal complications"],"prefix":"10.1590","volume":"72","author":[{"given":"Fernanda O. de","family":"Carvalho","sequence":"first","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio R.","family":"Bellas","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luciano","family":"Guimar\u00e3es","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 Francisco","family":"Salom\u00e3o","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"445","DOI":"10.1227\/01.neu.0000316012.20797.04","article-title":"A multi-institutional, 5-year analysis of initial and multiple ventricular shunt revisions in children","volume":"62","author":"Berry JG","year":"2008","journal-title":"Neurosurgery"},{"issue":"5","key":"ref2","first-page":"S358","article-title":"Quality of life in children with hydrocephalus: results from the Hospital for Sick Children, Toronto","volume":"107","author":"Kulkarni AV","year":"2007","journal-title":"J Neurosurg"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1159\/000120557","article-title":"Mechanical complications in shunts","volume":"217","author":"Sainte-Rose C","year":"1991","journal-title":"Pediatr Neurosurg"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"748","DOI":"10.2176\/nmc.30.748","article-title":"Intra-abdominal cyst following revision of ventriculoperitoneal shunt - case report","volume":"30","author":"Yamashita K","year":"1990","journal-title":"Neurol Med Chir (Tokyo)"},{"key":"ref5","article-title":"Pathophysiological changes to the peritoneal membrane during PD-related peritonitis: the role of mesothelial cells","author":"Yung S","year":"2012","journal-title":"Mediators Inflamm"},{"key":"ref6","article-title":"Reasons, procedures, and outcomes in ventriculoatrial shunts: a single-center experience","volume":"4","author":"Yavuz C","year":"2013","journal-title":"Surg Neurol Int"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"875","DOI":"10.3171\/jns.1992.77.6.0875","article-title":"Shunt implantation: reducing the incidence of shunt infection","volume":"77","author":"Choux M","year":"1992","journal-title":"J Neurosurg"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"344","DOI":"10.1016\/0090-3019(95)80060-T","article-title":"A no-touch technique protocol to diminish cerebrospinal fluid shunt infection","volume":"43","author":"Faillace WJ","year":"1995","journal-title":"Surg. 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