Protein status, shunt site (abdominal cavity is also divided into "inferior septum" and "iliac fossa", etc. ), brain pressure before shunt and shunt tube selection (high, medium and low pressure). The imported pipe is about 2500 yuan. All the top three hospitals in China
This can be done. Don't go further, just find a provincial hospital, and don't waste money. Drainage tube hernia after ventriculoperitoneal shunt is not uncommon in children. Especially for children after intracranial tumor surgery, because of systemic malnutrition, the scalp at the surgical incision often becomes thinner, which will lead to poor healing of the scalp incision and drainage tube hernia, which often lasts for a long time. It is even necessary to combine plastic surgery to solve the problem of scalp defect [1-4]. We have met several children after ventriculoperitoneal shunt and after shunt.
The small arc scalp incision we adopted is more suitable for children's ventriculoperitoneal shunt surgery, which has several advantages: the incision is small, but the drainage tube is easy to place; Because the scalp of children is thin and the subcutaneous tissue is loose, the incision is small, but it is easy to open, and it is easier to drill and put the drainage tube, which avoids the incision cracking and cerebrospinal fluid leakage (because the scalp of children is thin and active, the incision is easy to crack due to friction after operation). The small arc incision avoids the direct contact between the drainage tube and the incision. When suturing, the periosteal flap can be tightly sutured, the drainage tube is covered under the periosteal flap, and the subcutaneous tissue can be sutured in turn. In this way, the drainage tube is completely under the skin, which is not easy to cause wound dehiscence, drainage tube hernia and cerebrospinal fluid leakage. Easy to adjust the drainage tube (after ventriculoperitoneal shunt, sometimes the drainage tube is blocked for various reasons, so it is necessary to adjust the drainage tube. The traditional straight incision is easy to damage the drainage tube when it is cut because the drainage tube is located under the incision, and there are scars and adhesions near the surgical incision, but the small arc incision can avoid this problem.