SERVICES
VP Shunts for both Adults and Children

 
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BRAIN

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SPINAL CORD

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CENTRAL NERVOUS SYSTEM

 
 

Why would you need a Ventriculoperitoneal (VP) shunt?

A VP shunt is compatible in the brains of both adults and children to treat hydrocephalus, a condition that causes the build-up of cerebrospinal fluid. Excessive cerebrospinal fluid increases brain pressure and is detrimental to one’s health. A VP shunt is equipped with a valve and narrow tubes called catheters. There are two types of catheters, the inflow catheter that pumps out fluid from a small puncture in the skull and the outflow catheter that travels beneath the skin to drain fluid and prepare it for reabsorption. The valve is used to regulate the amount of fluid drained from the brain.

Dr Madumo can place either of two shunts, a programmable shunt or a manual one. A manual, non-programmable shunt is only adjustable before inserting it. After a manual shunt is placed, it cannot be reprogrammed. So when cerebrospinal fluid builds up to a certain level, the VP shunt will empty according to its settings being put in place beforehand. On the other hand, a programmable shunt consists of an adjustable valve that can be adapted at any time.

What does inserting a VP shunt involve?

Inserting a ventriculoperitoneal shunt takes place under general anaesthetic in Dr Madumo’s practice rooms. After making an incision behind the patient’s ear, he drills a hole in the skull. Next, he carefully inserts the inflow catheter through the opening in the skull, which he attaches to a valve to control the amount of fluid that needs to be drained. Afterwards, he places the outflow catheter through an incision in the stomach for fluid to be reabsorbed. After connecting all the remaining parts, the shunt system can begin working as expected.


What does recovery involve?

A minor headache is typically experienced after the procedure. Dr Madumo will prescribe pain medication if needed. After shunt surgery, patients are requested not to consume any solids but instead stick to a liquid diet. At a follow-up appointment, Dr Madumo removes stitches and provides wound care instructions to prevent infection.


 
What does preparation for the insertion of a VP shunt involve?
You will need to discuss any medication you take currently to treat chronic conditions. Your doctor will advise whether it is in your best interest to discontinue the use of such medicines before the procedure. In addition, Dr Madumo will ask you to stop taking vitamin E as this increases bleeding. You will also be requested to not eat anything after midnight on the day of the procedure.
When can you remove a VP shunt?
When there is no need for a VP shunt, your doctor can remove it. However, after removing the shunt, your doctor will schedule follow-up appointments to monitor your condition closely.
How do you remove a VP shunt?
Removal of a VP shunt happens on an outpatient basis in the doctor’s practice. Dr Madumo carries out MRI scans and turns the programmable shunt off. An MRI imaging scan will indicate the status of a patient’s condition and the severity of hydrocephalus.
 
 
 

Why would you need a Ventriculoperitoneal (VP) shunt?

A VP shunt is compatible in the brains of both adults and children to treat hydrocephalus, a condition that causes the build-up of cerebrospinal fluid. Excessive cerebrospinal fluid increases brain pressure and is detrimental to one’s health. A VP shunt is equipped with a valve and narrow tubes called catheters. There are two types of catheters, the inflow catheter that pumps out fluid from a small puncture in the skull and the outflow catheter that travels beneath the skin to drain fluid and prepare it for reabsorption. The valve is used to regulate the amount of fluid drained from the brain.

Dr Madumo can place either of two shunts, a programmable shunt or a manual one. A manual, non-programmable shunt is only adjustable before inserting it. After a manual shunt is placed, it cannot be reprogrammed. So when cerebrospinal fluid builds up to a certain level, the VP shunt will empty according to its settings being put in place beforehand. On the other hand, a programmable shunt consists of an adjustable valve that can be adapted at any time.

What does inserting a VP shunt involve?

Inserting a ventriculoperitoneal shunt takes place under general anaesthetic in Dr Madumo’s practice rooms. After making an incision behind the patient’s ear, he drills a hole in the skull. Next, he carefully inserts the inflow catheter through the opening in the skull, which he attaches to a valve to control the amount of fluid that needs to be drained. Afterwards, he places the outflow catheter through an incision in the stomach for fluid to be reabsorbed. After connecting all the remaining parts, the shunt system can begin working as expected.


What does recovery involve?

A minor headache is typically experienced after the procedure. Dr Madumo will prescribe pain medication if needed. After shunt surgery, patients are requested not to consume any solids but instead stick to a liquid diet. At a follow-up appointment, Dr Madumo removes stitches and provides wound care instructions to prevent infection.


 
What does preparation for the insertion of a VP shunt involve?
You will need to discuss any medication you take currently to treat chronic conditions. Your doctor will advise whether it is in your best interest to discontinue the use of such medicines before the procedure. In addition, Dr Madumo will ask you to stop taking vitamin E as this increases bleeding. You will also be requested to not eat anything after midnight on the day of the procedure.
When can you remove a VP shunt?
When there is no need for a VP shunt, your doctor can remove it. However, after removing the shunt, your doctor will schedule follow-up appointments to monitor your condition closely.
How do you remove a VP shunt?
Removal of a VP shunt happens on an outpatient basis in the doctor’s practice. Dr Madumo carries out MRI scans and turns the programmable shunt off. An MRI imaging scan will indicate the status of a patient’s condition and the severity of hydrocephalus.
 
 
 

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