VP Shunt - Types, Procedure, Surgery and Recovery

VP Shunt Surgery​

The surgery may take an average of 1 to 2 hours and requires general anaesthesia.

Incisions:

• One or two holes are made on the scalp above the head and as well as on the skull over the ventricle.
• The second cut is in the abdomen for the distal catheter placement.

Placement of Catheter:

• In ventriculography, a small hole is produced on the skull and a catheter is introduced into one of the ventricles of the brain to suck CSF.
• The other end of the catheter is inserted into the peritoneal cavity through subcutaneous placing of the needle.

Valve Insertion:

• A valve is inserted somewhere along the catheter system, usually behind the ear of in the neck.
• The valve also controls the amount and pressure at which CSF is drained from the body of a patient.

Connection and Securing:

• The proximal catheter here is fixed to the valve in the ventricle.
• The distal catheter which extends to abdomen is anchored in the peritoneal cavity for CSF sampling.

Closure:

• Wounds are then sutured or stapled, and cleaned, dressed with sterile materials.

Ventriculoperitoneal Shunt Procedure​

Ventriculoperitoneal Shunt is an operation for managing conditions that cause increased levels of fluid in the brain called cerebrospinal fluid. This condition, known as hydrocephalus, causes higher pressure inside the skull so that patients may experience headaches, nausea, vision difficulties, or problematic brain function in the worst-case scenario.

VP Shunt Complications​

The Ventriculoperitoneal Shunt (VP Shunt) procedure is long and characterized by minimal risk, although, like any surgery, it has some risks. These risks are associated with the procedure of implantation of the shunt as well as the further work of the shunt system. Knowledge of these risk factors plays role in identifying possible complication early enough to prevent.

• Infection
• Bleeding
• Anaesthesia Risks
• Shunt Malfunction
• Over-Drainage
• Under-Drainage
• Peritoneal Irritation
• Bowel Perforation
• Scarring

VP Shunt Recovery Time​

The length of time it takes for someone who has undergone a ventriculoperitoneal (VP) shunt surgery to recover is different from one person to another, based on their general health, the reasons why the surgery was done, and whether the patient developed some complications. Here’s a general timeline:

Immediate Recovery (Hospital Stay)

• Duration: 1 to 3 days
• Activity: Stay at the hospital for observation
• Symptoms are some headache, nausea or discomfort

Short-Term Recovery (First Few Weeks)

• Duration: 2 to 4 weeks
• Restrictions include going out, avoiding physical exercises or any activity which might need lifting of bulky items or bending down.
• Next: First visit to the doctor should be within one to two weeks.

Long-Term Recovery (Full Healing)

• Duration: About 6 to 8 weeks
• Activity: Slow staking up of various activities but no vigorous sporting activities.
• Shunt adjustment: Some patients may require change in the pressure settings

VP Shunt Infection Symptoms

VP shunt infection is a severe condition that should be handled by a doctor as soon as possible. There are some differences of symptoms depending of if the infection is localized in the shunt system, spread into the brain (meningitis) or if it affected the peritoneal cavity (peritonitis).

• Fever & Chills
• Fatigue or Irritability
• Poor Appetite or Nausea
• Vomiting

VP Shunt Placement​

• Incision on the Scalp: A small cut is made in the head to access the brain.
• Hole Drilling: A tiny hole is drilled into the skull to insert the shunt catheter into a brain ventricle.
• Tunnel Creation: A second small incision is made in the neck, chest, or abdomen to guide the catheter under the skin.
• Shunt Placement: The tubing is connected to a valve, which regulates fluid drainage.
• Closure: The incisions are stitched, and a bandage is applied.

VP Shunt Malfunction Signs​

• Headache (persistent or severe)
• Increased pressure in the head
• Swelling, redness, or tenderness along the shunt tract (scalp, neck, chest, or abdomen)
• Fluid buildup around the shunt

VP Shunt Surgery Risks​

Despite the effectiveness of ventriculoperitoneal shunting, there are certain risks factor that may arise with the surgery. They can present early or late after shunt surgery, may be related to an infection and may need shunt adjustment.

• Infection
• Bleeding
• Brain Injury or Seizures
• Shunt Blockage
• Overdrainage
• Underdrainage
• Abdominal Complications
• Mechanical Failure

VP Shunt Failure Symptoms​

A VP shunt failure is a condition where there is failure of the shunt to drain peritoneal fluid to the ventricle as a result of blockage, infection, mechanical problems or inadequate functioning. This leads to the recurrence of hydrocephalus symptoms and a need for a quick doctor’s intervention.

• Persistent or Severe Headache
• Nausea and Vomiting
• Vision Problems
• Dizziness or Balance Issues
• Difficulty Concentrating or Confusion
• Drowsiness or Excessive Sleepiness
• Seizures
• Swelling, Redness or Tenderness along the shunt tract

VP Shunt Removal​

VP shunt removal is a surgical procedure in which a part or whole of a ventriculoperitoneal shunt is removed. This is usually done if the shunt is not required any longer, is infected or is not working properly.

Reasons for VP Shunt Removal

• Shunt Independence: It is unfortunate that some patients especially the children may outgrow hydrocephalus therefore may not require the shunt any more.
• Shunt Infection: If a bacterial infection is present, then the shunt has to be removed and reinserted after the administration of antibiotics.
• Shunt Failure: If the shunt is malfunctioning because it is blocked, broken or displaced, then the doctors consider putting a new shunt or reposition the existing one.
• Overdrainage or UnderDrainage: Other issues that cannot be rectified by manipulation of the valve may need to be removed.
• Abdominal complications: If the problem will originate from the peritoneal end of the shunt such as bowel obstruction and peritonitis, the shunt might be taken out or repositioned.

Factors Affecting VP Shunt Surgery Cost​

Ventriculoperitoneal (VP) shunt surgery cost depends on many factors such as the hospital, the surgeon fees as well as post-operative management. Thus, the cost estimate consolidation takes into account the following factors:

• Type of Shunt Used
• Complexity of Surgery
• Surgeon’s Fees
• Hospital Type & Location
• Length of Hospital Stay
• ICU and Post-Operative Care

VP Shunt Surgery Recovery​

Postoperative Care

Hospital Stay:

• Patients are usually allowed to be taken home after 1–3 days of observation in the hospital.
• Patient’s temperature, pulse, respiration, blood pressure and neurological assessment and the dressings of operations incisions are observed.

Imaging:

• A CT or X-ray could be taken postoperatively to check the placement of the shunt.
• Pain Management:
• Both prescription drugs for pain control and antibiotics are administered in an attempt to alleviate pain and guard against infection.

Physical Activity:

• Patients are told that they should lie down in the first place and then gradually start doing their normal activities.
• The patient should however minimize of any form of physical activity that may strain the body until the surgeon gives clearance.

Follow-up Care

Monitoring Shunt Function:

• Follow-ups in order to ascertain that the shunt is functional properly.
• But if there is a need for adjustments of the shunt’s valve, it may also be done.
• Signs of Complications: Patients are educated to watch for symptoms such as:
• Severe headache
• Nausea and vomiting
• Any sort of inflammation or reddening along the shunt path
• Fever or abdominal pain
• Long-Term Care:
• The shunts may be revised because of blockages, infection, or with changes in the clinical condition of the child.

VP Shunt Adjustment​

An adjustment of the VP shunt is necessary when its pressure needs to be altered to effectively manage the drainage of cerebrospinal fluid (CSF). This is particularly for programmable shunts that include non-invasive pressure changes through a magnetic instrument.

Best Doctor for VP Shunt Surgery

• Dr. Aditya Gupta
• Dr. Karanjit Singh Narang
• Dr. Rana Patir
• Dr. (Col) Joy Dev Mukherji
• Dr. Atul Prasad

Why Choose GetWellGo for VP Shunt Procedure? 

GetWellGo is regarded as a leading supplier of healthcare services. We help our foreign clients choose the best treatment locations that suit their needs both financially and medically.

We offer:

• Complete transparency
• Fair costs.
• 24 hour availability.
• Medical E-visas
• Online consultation from recognized Indian experts.
• Assistance in selecting India's top hospitals for VP Shunt Procedure.
• Expert surgeons with a strong track record of success
• Assistance during and after the course of treatment.
• Language Support
• Travel and Accommodation Services
• Case manager assigned to every patient to provide seamless support in and out of the hospital like appointment booking
• Local SIM Cards
• Currency Exchange
• Arranging Patient’s local food
•