Laparoscopic Ambulatory Salpingectomy in a Patient with Ventricle- Peritoneal Derivation. Quito, Ecuador, 2019.
Keywords:
ventricle peritoneal shunt;, ambulatory laparoscopic salpingectomyAbstract
Introduction: Ventricle peritoneal shunt or fistula is a surgery done to relieve increased intracranial pressure due to excess cerebrospinal fluid over the brain (hydrocephalus) where there is an accumulation of fluid from the brain and spinal cord (fluid cerebrospinal). This buildup of fluid causes higher pressure on the brain than normal. Excess pressure, or pressure maintained for a long time, will damage brain tissue. A shunt helps drain excess fluid and relieve pressure in the brain and should be placed as soon as hydrocephalus is diagnosed. Objective: To present the anesthetic management in a patient with ventricle peritoneal shunt during ambulatory laparoscopic salpingectomy.
Method: The case of a 32-year-old female patient with a history of 2 previous caesarean section and diagnosed with hydrocephalus is presented. The VP shunt was performed at age 17 and laparoscopic salpingectomy was performed on an outpatient basis.
Results: Orotracheal general anesthesia was successfully administered, and the patient discharged 8 hours after the immediate postoperative period.
Conclusions: Patients who arrive at the surgical- anesthetic act with ventricle-peritoneal shunts are becoming more frequent and mini-invasive surgery can resolve their medical condition with fewer complications. The anesthetic management in the literature is very controversial and scarce, but the individualized assessment of each patient is required to make decisions and thus achieve satisfactory results.
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