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All Journal Jurnal Ilmiah Kedokteran Wijaya Kusuma
Yusuf Hermawan
Dr. Wahidin Sudiro Husodo Kota Mojokerto General Hospital
Biochemistry, Genetics & Molecular Biology Medicine & Pharmacology Public Health

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Peritoneal Shunt Extraction in Children Using Laparoscopy: A Case Report Arif Kusumo Rahardjo; Yusuf Hermawan; Vita Dwi Wijayanti
Jurnal Ilmiah Kedokteran Wijaya Kusuma Vol 11, No 2 (2022): SEPTEMBER 2022
Publisher : Universitas Wijaya Kusuma Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (625.239 KB) | DOI: 10.30742/jikw.v11i2.1488

Abstract

Laparoscopy is one way to perform various simple procedures or surgeries in the abdominal cavity. Laparoscopy can be useful in the management of ventriculo-peritoneal shunt (VP Shunt) fractures. The peritoneal component of the shunt remaining in the abdominal cavity can be removed using laparoscopy. A pediatric patient with hydrocephalus with a history of VP Shunt insertion 5 years ago, came with complaints of weakness, vomiting and difficulty eating. Physical examination revealed the presence of edema in the chamber area. A CT scan of the head and plain abdominal radiographs were performed. The diagnosis was made as a shunt fracture, with the peritoneal component of the shunt remaining in the abdominal cavity. The patient received treatment in the form of a revised VP shunt and peritoneal shunt extraction using standard laparoscopy which is commonly used for adult patients. The patient's condition improved after the procedure. Peritoneal shunt extraction in cases of VP shunt fracture can be safely performed using laparoscopy. If there are limited tools, this procedure can still be performed on children using standard laparoscopy which is usually used for adult patients.  Authors report this case due to no previous report in Mojokerto area were known.
Co-Authors Arif Kusumo Rahardjo Vita Dwi Wijayanti