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Doctor insights on: Peritoneal Venous Shunt Removal

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Shunt (Definition)

Device that allows the flow of usually a fluid between two places. Sometimes a shunt may be used during carotid endarterectomy surgery to maintain the blood flow to the brain while the carotid artery ...Read more


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How common is shunt independence (for vp shunts) how does it happen? Examples of such cases? What's the chance for hydro acquired after tumor removal?

How common is shunt independence (for vp shunts) how does it happen? Examples of such cases? What's the chance for hydro acquired after tumor removal?

Rarely useful: Theoretically, shunt independence can happen, and I have seen a few patients who may no longer need their shunt. Practically, it is rarely worth thinking about. There is no foolproof way to know if a shunt is still flowing or not. Even if the shunt is draining one drop per day, removing it would lead to return of hydrocephalus, so it's rarely worth trying, and usually best to leave it alone. ...Read more

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Will someone who got vp shunt after tumor removal eventually be shunt independent or do they gain dependence on it? Don't think i'm using it anymore?

You should be more c: This is a serious intervention done by a neurosurgeon whom the patient is expected to see for follow up. Vp shunt is a serious intervention , so you/patient needs to go see your neurosurgeon for regular follow up and find the answers. How can you say, 'do not think I am using it anymore? That is an unclear response. ...Read more

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Is it common for CSF fluid to be drained in alternative passageways for acquired hydro after tumor removal? Chance of shunt independence in such case?

Is it common for CSF fluid to be drained in alternative passageways for acquired hydro after tumor removal? Chance of shunt independence in such case?

Yes: A shunt is necessary if there is too much cerebral fluid in the brain. The surgeon that put it in will check it periodically to see if it is functioning properly and if drainage needs to be increased or decreased. If there are no symptoms, the shunt is usually left alone. I know patients that have had them since childhood without any problems. Good luck. ...Read more

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Not trying2remove vp shunt, jst wondering chance of shunt independence4acquired hydro aftr tumor removal. Is it common2develop ALT paths4csf drainage?

Hydrocephalus: It is not uncommon to require a ventriculoperitoneal shunt after removal of a brain tumor. There is a possibility of shunt independence after the swelling and debris has resolved. Externalizing the shunt and gradually raising the shunt valve pressure can be performed to check for shunt independence. See your neurosurgeon to determine if you are a candidate for a trial. ...Read more

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Husband has Benign cystic peritoneal mesothelioma Oncologist wants yearly CT no removal suggested now. Maybe HIPEC/surgery later. Any thoughts?

Husband has Benign cystic peritoneal mesothelioma Oncologist wants yearly CT no removal suggested now. Maybe HIPEC/surgery later. Any thoughts?

Ethical oncologist: Your husband is triply-fortunate. He has a lesion that's best left alone and will most likely not be a great problem. He has an oncologist who's told you the truth and not suggested unnecessary treatment. And best of all, he has a devoted and resourceful wife. Be sure that at least two pathologists signed off on the diagnosis of this rare entity. ...Read more

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I would like to know what is an slp or s/p vp shunt?

Event done: S/p means status post. It refers to naming an event usually in a medical record that has already happened. Thus s/p hernia surgery would mean that hernia surgery had been done in the past and s/p vp shunt means that a ventricular-peritoneal shunt has been done on that patient. ...Read more