Laparoscopy in the Management of Lumboperitoneal Shunt Catheter in Obese Patients with Pseudotumor Cerebri

Basit Öğe Kaydı
dc.authoridPAŞAHAN, RAMAZAN/0000-0002-3221-1422
dc.authoridOzturk, Sait/0000-0002-7655-0127
dc.authoridCakin, Hakan/0000-0002-2635-4953
dc.authorwosidPAŞAHAN, RAMAZAN/AAB-3576-2021
dc.authorwosidOzturk, Sait/Q-1953-2016
dc.contributor.authorOzturk, S.
dc.contributor.authorCakin, H.
dc.contributor.authorKarabulut, K.
dc.contributor.authorPasahan, R.
dc.contributor.authorKaplan, M.
dc.date.accessioned2024-08-04T20:44:21Z
dc.date.available2024-08-04T20:44:21Z
dc.date.issued2018
dc.departmentİnönü Üniversitesien_US
dc.description.abstractLumboperitoneal shunts are widely used for the treatment of patients diagnosed with pseudotumor cerebri (PTC). Obesity is a risk factor for PTC. In particular, catheter migration out of the abdominal cavity is more commonly observed in morbidly obese patients. The aim of this study was to discuss the underlying mechanisms of catheter migration and treatment modalities in morbidly obese patients with PTC. The present study included four morbidly obese patients. All cases had undergone the previous laparotomy for insertion of a distal catheter into the abdominal cavity. In three cases, migration of the distal catheter out of the abdominal cavity was observed. Migration of the proximal tip of the catheter out of the spinal canal was observed in the fourth case. In all cases, laparoscopic revision surgeries were performed. During revision surgery, a catheter tunnel was prepared immediately over the external oblique fascia to obtain the shortest and deepest tunnel, and a distal catheter was inserted by laparoscopic guidance posterolaterally, i.e., through the postaxillary line. None of the patients developed any complications during the follow-up period of 4 years. We recommend laparoscopic insertion of distal catheters through the postaxillary line into the abdominal cavity using as short a catheter route as possible. Thus, tension and traction on the catheter due to abdominal movements can be decreased in morbidly obese patients to prevent catheter migration.en_US
dc.identifier.doi10.4103/njcp.njcp_50_17
dc.identifier.endpage400en_US
dc.identifier.issn1119-3077
dc.identifier.issue3en_US
dc.identifier.pmid29519994en_US
dc.identifier.scopus2-s2.0-85043694749en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage397en_US
dc.identifier.urihttps://doi.org/10.4103/njcp.njcp_50_17
dc.identifier.urihttps://hdl.handle.net/11616/98195
dc.identifier.volume21en_US
dc.identifier.wosWOS:000427371000025en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherMedknow Publications & Media Pvt Ltden_US
dc.relation.ispartofNigerian Journal of Clinical Practiceen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectLaparoscopyen_US
dc.subjectlumboperitonealen_US
dc.subjectmigrationen_US
dc.subjectobesityen_US
dc.subjectpseudotumor cerebrien_US
dc.subjectshunten_US
dc.titleLaparoscopy in the Management of Lumboperitoneal Shunt Catheter in Obese Patients with Pseudotumor Cerebrien_US
dc.typeArticleen_US

Dosyalar

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
PubMed İndeksli Yayın Koleksiyonu
Scopus İndeksli Yayınlar Koleksiyonu