• Evaluation of Harmonic Scalpel vs Ligasure Device in Thyroidectomy: A Prospective Randomized Study in a Tertiary Care Center
    Abdel- Moniem I El-Khateeb, Gamal A Makhlouf, Ahmed M Khalfallah
  • Advancement in the Role of Laparoscopy in Complicated Appendicitis
    Eslam M. Ibrahim, Tamer A. Alnaimy and Mohammed Elkilanty
  • Prediction of Liver Failure after Resection of Hepatocellular Carcinoma in Cirrhotic Patients Efficiency of Different Prognostic Scores
    Abdelrahim A. Abdelrahim, Farouk A. Mourad, Mostafa A. Hamad, Ahmed M. Ali, Ahmed M. Ibrahim, Mohmoud R. Shehata, Ragai S. Hanna
  • Changes in Level of Ghrelin Post Laparoscopic Sleeve Gastrectomy
    Mostafa A. Elshazli, Mohamed D. Sarhan, Ahmed AbdAl Aziz, Mohamed.H.Khattab
  • Great Saphenous Vein Stripping versus Hemodynamic Correction (CHIVA) in Treatment of Varicose Veins of Great Saphenous Venous System
    Salah Soliman, Tamer Elgabary, EL Ashraf Thabet, Mahmoud Badawy
  • Utility of Commonly Used Preoperative Diagnostic Tools in Detecting Malignant Thyroid Nodules
    Abd Elhafez M. Elsheweal1, Ayman F. Ahmed2, Hala Y. Yousef2,Raafat Hegazy3, and Ahmed F. Elsaid4
  • Role of Liver Resections in Management of Major Hepatic Trauma
    Ahmed S. Mohammed, Mahmoud R. Shehata, Abd Elmoniem I. El-khateeb, Hany A. Ali, Tarek A. Mostafa, Ragai S. Hanna
  • Short term Outcome of Ligation of Intersphincteric Fistula Tract (LIFT) in Treatment of Transsphincteric Perianal Fistula
    Hany Mohamed (MD), Ashraf Goda (MD), Hatem Mohammed (MD)
  • Minimally Invasive Parathyroidectomy versus Conventional Open Parathyroid Exploration for Treatment of Primary Hyperparathyroidism
    Shaban M. Abdel Mageed
  • Immediate Flap Reconstruction Role in Long term Outcome of Post Mastectomy Radiotherapy
    Mohamed M.E Ibrahem2,*, Shaban M. Abdel Mageed1,*, and Shawki M.K Sharouda1
  • Evaluation of Transverse Coloplasty Anastomosis (TC) after Low Anterior Resection in Mid and Low Rectal Cancer
    Ahmed Morad, MD; Yasser El Ghamrini, MD
  • Axillary Exclusion Technique as a Method for Reducing Seroma Formation after Modified Radical Mastectomy
    Ahmed Morad, MD; Ahmed Aly, MD; Hossam El Sadek, MD
  • Challenges Of Surgical Management of Left Colonic Emergencies: A Multicentre Study
    Yasser Hussein1, Hazem Nour1, Dauda Bawa3, Mansour Morsy1, Salah Mansour1, Saleem Abdulsattar2, Medhat Mustafa2,Wael lotfy1
  • Comparative Study between Open and Trans-abdominal Pre-peritoneal Repair of Inguinal Hernia
    Mohammad Ahmad Abdel Gawad, Osama Ahmed Radwan, Ahmed Abdel Aal, Mohamed Gamal Eldin
  • Comparative Study between Non–laparoscopic and Laparoscopic-Assisted Distal End Placement in Ventriculoperitoneal Shunt in Adults
    Amr A A Mostafa Elkatatny MD, MSc., PhD1, Tarek M Hamdy MD, MSc., PhD1,Abdrabou N Mashhour MD, MSc., PhD2

    • Comparative Study between Non–laparoscopic and Laparoscopic-Assisted Distal End Placement in Ventriculoperitoneal Shunt in Adults

    Amr A A Mostafa Elkatatny MD, MSc., PhD1, Tarek M Hamdy MD, MSc., PhD1,Abdrabou N Mashhour MD, MSc., PhD2
    1Department of Neurosurgery, Kasr Alainy School of Medicine, Cairo University 2Department of General Surgery, Kasr Alainy School of Medicine, Cairo University

    Background: The traditional management of hydrocephalus is still the placement of ventriculoperitoneal (VP) shunts. However, the majority of patients require one or more revisions over their lifetime. Revisions may be required for infections, proximal site malfunction, or distal catheter complications. Distal malfunction is a common complication in ventriculoperitoneal shunts and distal shunt revisions, especially in patients with previous abdominal pathologies as well as in obese patients. Aim of the study: To review the indications, techniques, complications, and long-term outcome of laparoscopy-guided distal shunt placement or revision for patients with and without a positive abdominal history and compare these results to those of patients operated without laparoscopic guidance. Methods: between January 2012 and December 2016, a retrospective study of 105 distal shunt procedures were performed in our institute, 29 of which were laparoscopically guided, and 76 were not. Of the 105 procedures, 88 were placement of new shunt systems, and 17 were distal revisions. A total of 17 procedures were performed in 13 patients with a history of abdominal surgery; 8 procedures were operated with laparoscopic guidance. Results: there were no significant difference between the laparoscopy group and the nonlaparoscopy group regarding the short-term complications and outcome rates. Among the patients with new shunts, the long-term distal malfunction rate was lower in the laparoscopy group compared with the nonlaparoscopy group (4% vs 10.3%, respectively; P = .17). The short-term shunt infection rate was similar between the 2 techniques for the entire study population, while long-term infection rate is higher in laparoscopic patients. Conclusions: In distal V-P shunt placement or shunt revision laparoscopy is not routinely indicated. However, in patients with previous abdominal surgeries, a laparoscopy-guided procedure may lower the rate of distal malfunction of the shunt. Keywords: Ventriculoperitoneal shunt, Laparoscopy; Minilaparotomy; Distal revision; Complications.

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