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01-04-2007 | Case Report

Staged operations for posthemorrhagic hydrocephalus in extremely low-birth-weight infants with preceding stoma creation after bowel perforation: surgical strategy

Authors: Shinichi Nakano, Tetsuaki Sugimoto, Takuma Kawasoe, Asako Koreeda, Kazuhiro Kondo, Tomoaki Ikeda, Katsuhide Kai, Shinichiro Wakisaka

Published in: Child's Nervous System | Issue 4/2007

Abstract

Case report

We report a complicated extremely low-birth-weight (ELBW) infant with posthemorrhagic hydrocephalus after intraventricular hemorrhage and preceding stoma creation after bowel perforation who was treated with staged operations, including shunting and external ventricular drainage. The first operation was a temporary valveless ventriculoperitoneal (VP) shunt placement until the time of the stoma closure. The stoma was successfully closed 3 months after the first operation when the peritoneal tube was drawn out from the chest wall and the VP shunt system was temporarily used as an external drainage with a long subcutaneous tunnel. One month after the second operation, final VP shunt placement was performed after good healing of bowel anastomosis was surely confirmed. The previous peritoneal shunt tube was cut behind the ear, removed, and replaced with a valve-regulated VP shunt system.

Conclusion

This staged strategy is a safe and feasible option for complicated ELBW infants with preceding stoma and hydrocephalus.

Bass JK, Bass WT, Green GA, Gurtner P, White LE (2003) Intracranial pressure changes during intermittent CSF drainage. Pediatr Neurol 28:173–177PubMed

Berger A, Weninger M, Reinprecht A, Haschke N, Kohlhauser C, Pollak A (2000) Long-term experience with subcutaneously tunneled external ventricular drainage in preterm infants. Childs Nerv Syst 16:103–110PubMedCrossRef

Cornips E, Van Galenbergh F, Plets C, Devlieger H, Casaer P (1997) Use of external drainage for posthemorrhagic hydrocephalus in very low birth weight premature infants. Childs Nerv Syst 13:369–374PubMedCrossRef

Hudgins RJ, Boydston WR, Gilreath CL (1998) Treatment of posthemorrhagic hydrocephalus in the preterm infant with a ventricular access device. Pediatr Neurosurg 29:309–313PubMedCrossRef

Reinprecht A, Dietrich W, Berger A, Bavinzski G, Weninger M, Czech T (2001) Posthemorrhagic hydrocephalus in preterm infants: long-term follow-up and shunt-related complications. Childs Nerv Syst 17:663–669PubMedCrossRef

Vinchon M, Lapeyre F, Duquennoy C, Dhellemmes P (2001) Early treatment of posthemorrhagic hydrocephalus in low-birth-weight infants with valveless ventriculoperitoneal shunts. Pediatr Neurosurg 35:299–304PubMedCrossRef

Whitelaw A (2001) Intraventricular hemorrhage and posthemorrhagic hydrocephalus: pathogenesis, prevention and future interventions. Semin Neonatol 6:135–146PubMedCrossRef

Fitzgerald DA, Mesiano G, Brosseau L, Davis GM (2000) Pulmonary outcome in extremely low birth weight infants. Pediatrics 105:1209–1215PubMedCrossRef

Camberos A, Patel K, Applebaum H (2002) Laparotomy in very small premature infants with necrotizing enterocolitis or focal intestinal perforation: Postoperative outcome. J Pediatr Surg 37:1692–1695PubMedCrossRef

10.

Emil S, Nguyen T, Sills J, Padilla G. (2004) Meconium obstruction in extremely low-birth-weight neonates: guidelines for diagnosis and management. J Pediatr Surg 39:731–737PubMedCrossRef

11.

Garza-Cox S, Keeney SE, Angel CA, Thompson LL, Swischuk LE (2004) Meconium obstruction in the very low birth weight premature infant. Pediatrics 114:285–290PubMedCrossRef

12.

Gurtner P, Bass T, Gudeman SK, Penix JO, Philput CB, Schinco FP (1992) Surgical management of posthemorrhagic hydrocephalus in 22 low-birth-weight infants. Childs Nerv Syst 8:198–202PubMedCrossRef

13.

Heep A, Engelskirchen R, Holschneider A, Groneck P (2001) Primary intervention for posthemorrhagic hydrocephalus in very low birth-weight infants by ventriculostomy. Childs Nerv Syst 17:47–51PubMedCrossRef

14.

Weninger M, Salzer HR, Pollak A, Rosenkranz M, Vorkapic P, Korn A, Lesigang C (1992) External ventricular drainage for treatment of rapidly progressive posthemorrhagic hydrocephalus. Neurosurgery 31:52–58PubMedCrossRef

Title: Staged operations for posthemorrhagic hydrocephalus in extremely low-birth-weight infants with preceding stoma creation after bowel perforation: surgical strategy
Authors: Shinichi Nakano
Tetsuaki Sugimoto
Takuma Kawasoe
Asako Koreeda
Kazuhiro Kondo
Tomoaki Ikeda
Katsuhide Kai
Shinichiro Wakisaka
Publication date: 01-04-2007
Publisher: Springer-Verlag
Published in: Child's Nervous System / Issue 4/2007
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI: https://doi.org/10.1007/s00381-006-0237-x

At a glance: The STEP trials

Springer Medicine

Staged operations for posthemorrhagic hydrocephalus in extremely low-birth-weight infants with preceding stoma creation after bowel perforation: surgical strategy

Abstract

Case report

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Case report

Conclusion

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