Circumbilical Access for Ventriculoperitoneal Bypass Insertion in Adults

Abstract Introduction The use of a minilaparotomy for catheter implantation can bring important complications such as adhesions, intestinal lesions, incisional hernias and postoperative pain. In neurosurgery, the umbilical access, currently widely used by surgeons different specialties mainly its aesthetic results, is still restricted unfamiliarity access. Material Method During period between 2019 2020, total 12 patients who required ventricular bypass were selected, using circumbilical access insertion peritoneal followed up months to analyze possible complications. Description Technique surgeon responsible abdomen performs an incision bordering upper edge ring, avoiding mamelon, quickly finding linea alba under plane, which after dissection allows reaching peritoneum, without breaking rectus muscles. peritoneum then be opened visual control. Results All presented resolution hydrocephalus with good results Discussion result transumbilical procedure was stimulus development technique that proved easy, safe, cheap, aesthetic. Initially, ease cavity clear, in addition manipulation abdominis muscle, improves Conclusion ventriculoperitoneal shunt effective has better adult should part operative arsenal neurosurgeons.