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Anterograde Ventricular Irrigation During Fourth Ventricle Region Surgery

Published online by Cambridge University Press:  02 December 2014

Ian G. Fleetwood  and
Mark G. Hamilton
Ian G. Fleetwood
Affiliation:
Division of Neurosurgery, Dalhousie University, Department of Surgery, Halifax Infirmary, Halifax, NS, Canada
Mark G. Hamilton
Affiliation:
University of Calgary, Department of Clinical Neurosciences, Alberta Children’s Hospital, Calgary, AB, Canada
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Abstract

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Objective:

To reduce postoperative hydrocephalus following surgery in the region of the fourth ventricle.

Method/technique:

We describe the use of a conventionally placed lateral ventricular catheter to facilitate anterograde ventricular irrigation during surgery in the region of the fourth ventricle. This technique offers a safe alternative to more conventional approaches to fourth ventricular irrigation and obviates the need for placement of a third or fourth ventricular catheter and/or serial lumbar punctures by thoroughly flushing blood and tissue debris from the operative field at the time of surgery.

Results:

Preliminary results spanning a five-year period show a lower incidence in the need for early ventriculo-peritoneal shunts (5%) and delayed ventriculo-peritoneal shunts (10%).

Conclusion:

This technique represents a safe method of reducing hydrocephalus following operative procedures in the region of the fourth ventricle.

Résumé:

RÉSUMÉ:Objectif:

Réduire l’hydrocéphalie postopératoire dans les cas de chirurgie de la région du quatrième ventricule.

Méthode/technique:

Nous décrivons l’utilisation d’un cathéter ventriculaire latéral placé de façon conventionnelle pour faciliter l’irrigation ventriculaire antérograde pendant la chirurgie de la région du quatrième ventricule. Cette technique offre une alternative sûre aux approches conventionnelles de l’irrigation du quatrième ventricule et évite d’avoir recours à la mise en place d’un cathéter dans le troisième ou le quatrième ventricule et/ou à des ponctions lombaires répétées en évacuant complètement le sang et les débris tissulaires du champ opératoire pendant la chirurgie.

Résultats:

Les résultats préliminaires obtenus sur cinq ans montrent que moins de patients ont eu besoin d’une dérivation ventricule–péritonéale de façon précoce (5%) ou tardive (10%).

Résultats:

Cette technique est une méthode sûre pour diminuer l’hydrocéphalie postopératoire suite à une chirurgie de la région du quatrième ventricule.

Type
Original Articles
Information
Canadian Journal of Neurological Sciences , Volume 32 , Issue 1 , February 2005 , pp. 57 - 60
Copyright
Copyright © The Canadian Journal of Neurological 2014

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