{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T22:27:03Z","timestamp":1783117623198,"version":"3.54.6"},"reference-count":12,"publisher":"Georg Thieme Verlag KG","issue":"04","license":[{"start":{"date-parts":[[2022,9,20]],"date-time":"2022-09-20T00:00:00Z","timestamp":1663632000000},"content-version":"vor","delay-in-days":1754,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Asian J Neurosurg"],"published-print":{"date-parts":[[2017,12]]},"abstract":"<jats:p>Scrotal migration of peritoneal end of ventriculo-peritoneal (VP) shunt into the patent processus vaginalis (PPV) is a rare complication. Its exact incidence is not mentioned in the literature till date. This may be because of the rarity of this complication, and also because all previous articles related to the complication were case reports. We, in our series, had an incidence of 0.9%. This prospective study has been conducted on 437 patients in the age group of 1 month\u20133 years who underwent VP shunt for hydrocephalus over a period of 5 years from 2007 to 2011. The incidence of a hernia manifesting after shunt insertion has been reported to be around 16.8%. The average age of patients at the time of insertion of the shunt was 27.25 months (3\u201348 months). All our patients presented with swollen right sided scrotum after an average of 4 months (3\u20135 months) after shunt insertion. Shunt migration was more common on the right which is consistent with the incidence of hernias in children. The proper management of such cases includes repositioning of the catheter with the proper closure of the PPV. Usually, shunt revision is not required. We discuss the etiology, treatment and preventive measures of this rare entity.<\/jats:p>","DOI":"10.4103\/1793-5482.215783","type":"journal-article","created":{"date-parts":[[2017,10,3]],"date-time":"2017-10-03T12:54:35Z","timestamp":1507035275000},"page":"738-740","source":"Crossref","is-referenced-by-count":15,"title":["Scrotal migration of tubing: An unusual complication after ventriculo-peritoneal shunt"],"prefix":"10.1055","volume":"12","author":[{"given":"Monika","family":"Bawa","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Advanced Pediatric Center, Post Graduate Institute of Medical Education and Research, Chandigarh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saurabh","family":"Garge","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Advanced Pediatric Center, Post Graduate Institute of Medical Education and Research, Chandigarh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ravi","family":"Garg","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Advanced Pediatric Center, Post Graduate Institute of Medical Education and Research, Chandigarh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katragadda","family":"Narasimha Rao","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Advanced Pediatric Center, Post Graduate Institute of Medical Education and Research, Chandigarh"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2022,9,20]]},"reference":[{"key":"key-10.4103\/1793-5482.215783-1","first-page":"311","volume-title":"Inguinal hernia after ventriculoperitoneal shunt for hydrocephalus","author":"Grosfeld","year":"1974","journal-title":"J Pediatr Surg"},{"key":"key-10.4103\/1793-5482.215783-2","first-page":"1122","volume-title":"Scrotal migration of the peritoneal catheter of a ventriculoperitoneal shunt in a 5-year-old male.Case report","author":"Kita","year":"2010","journal-title":"Neurol Med Chir (Tokyo)"},{"key":"key-10.4103\/1793-5482.215783-3","first-page":"861","volume-title":"Scrotal migration of lumboperitoneal shunt catheter in an adult \u2013 Case report","author":"Kimura","year":"2011","journal-title":"Neurol Med Chir (Tokyo)"},{"key":"key-10.4103\/1793-5482.215783-4","first-page":"122","volume-title":"Unusual complication of ventriculoperitoneal shunt surgery","author":"Agarwal","year":"2009","journal-title":"J Pediatr Neurosci","ISSN":"https:\/\/id.crossref.org\/issn\/1817-1745","issn-type":"print"},{"key":"key-10.4103\/1793-5482.215783-5","first-page":"158","volume-title":"Scrotal migration of a ventriculoperitoneal shunt: A case report and review of literature","author":"Mohammadi","year":"2012","journal-title":"Med Ultrason"},{"key":"key-10.4103\/1793-5482.215783-6","first-page":"81","volume-title":"Scrotal mass: A rare complication of ventriculoperitoneal shunt","author":"Ho","year":"2011","journal-title":"Acta Medica (Hradec Kralove)"},{"key":"key-10.4103\/1793-5482.215783-7","first-page":"1","volume-title":"Migration of a fractured ventriculoperitoneal shunt into the scrotum: A rare complication","author":"Shahizon","year":"2013","journal-title":"BMJ Case Rep"},{"key":"key-10.4103\/1793-5482.215783-8","first-page":"1","volume-title":"Scrotal migration of ventriculoperitoneal shunt","author":"Shankar","year":"2014","journal-title":"BMJ Case Rep"},{"key":"key-10.4103\/1793-5482.215783-9","first-page":"175","volume-title":"A single-incision laparoscopic technique for retrieval and replacement of disconnected ventriculoperitoneal shunt tubing found in the peritoneum","author":"Jackson","year":"2002","journal-title":"Pediatr Neurosurg"},{"key":"key-10.4103\/1793-5482.215783-10","first-page":"1407","volume-title":"A ventriculoperitoneal shunt masquerading as a paratesticular tumor","author":"Silver","year":"2000","journal-title":"J Pediatr Surg"},{"key":"key-10.4103\/1793-5482.215783-11","first-page":"443","volume-title":"Scrotal perforation by a ventriculoperitoneal shunt","author":"Rehm","year":"1997","journal-title":"Br J Neurosurg"},{"key":"key-10.4103\/1793-5482.215783-12","first-page":"6","volume-title":"Placement of the peritoneal end of a ventriculoperitoneal shunt in the suprahepatic space: Does it improve prognosis?","author":"Pandey","year":"2009","journal-title":"Pediatr Neurosurg"}],"container-title":["Asian Journal of Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.4103\/1793-5482.215783.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,9,20]],"date-time":"2022-09-20T22:54:11Z","timestamp":1663714451000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.4103\/1793-5482.215783"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,12]]},"references-count":12,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2022,9,20]]},"published-print":{"date-parts":[[2017,12]]}},"URL":"https:\/\/doi.org\/10.4103\/1793-5482.215783","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1793-5482","2248-9614"],"issn-type":[{"value":"1793-5482","type":"print"},{"value":"2248-9614","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,12]]}}}