Overview of VP Shunting Surgery Treatment India

Ventriculoperitoneal (VP) Shunting is a surgical procedure that is performed in the conditions of high-pressure fluid in the brain to drain the excess fluid into the abdominal cavity. The fluid is present around the brain and spinal cord which is present in normal quantities in normal conditions. But in abnormal conditions of the brain like hydrocephalus, the fluid becomes in excess quantity and may damage the brain tissues. To avoid this brain tissue damage, VP shunting is performed in which a thin tube is used to drain the extra fluid. One end of this tube is placed inside the ventricles of the brain where excess fluid is present and the other end is placed in the peritoneal cavity in the abdominal area where the stomach is present. This shunting tube drains excess fluid in the abdominal cavity and prevents damage to brain tissue.

The cost of VP Shunting Surgery Treatment in India ranges from ₹ 3,14,000 to ₹ 3,85,000. The overall cost of the procedure can be different for each patient according to their unique condition.

Types of VP Shunting Surgery Treatment India

Some of the types of VP shunting are as follows:

  • Standard VP Shunt
  • Adjustable VP Shunt
  • Programmable VP Shunt
  • Anti-Siphon Device VP Shunt
  • Gravity-Assisted VP Shunt
  • Ventriculoatrial (VA) Shunt

Standard VP Shunt

This is the most common type of VP shunt. It typically consists of a tube that is placed into one of the cavities of the brain which is then connected to another catheter or tube that is tunneled under the skin to reach the cavity in the abdominal area. The valve regulates the flow of fluid in the brain to maintain normal pressure.

Adjustable VP Shunt

Some VP shunts have adjustable valves. These valves can be externally adjusted non-invasively to regulate the flow of fluid as needed. It can be beneficial in managing changes in the condition of a patient without the need for additional surgeries.

Programmable VP Shunt

Programmable shunts have a valve that can be adjusted externally just like the adjustable shunts. However, these shunts allow for more accurate adjustments and are often used for patients who require changes in the drainage of fluid.

Anti-Siphon Device VP Shunt

Anti-siphon devices are used in some VP shunts to prevent over-drainage of the fluid from the brain when the patient is in an upright position. This helps to maintain a more stable pressure inside the brain.

Gravity-Assisted VP Shunt

In this type of shunt, the flow of fluid is adjusted by the effect of gravity. It may not have a valve mechanism and relies on the difference in height between the ventricular tube and the abdominal tube to control the drainage of fluid.

Ventriculoatrial (VA) Shunt

In some cases, a VP shunt may be used to drain fluid into the chamber of the heart instead of the peritoneal cavity. This is usually done when abdominal absorption is compromised or is not suitable for a patient.

Procedure of VP Shunting

The general overview of the procedure of VP Shunting is described below:

Anesthesia: Anesthesia is administered to reduce the feeling of pain and discomfort during the surgical procedure of VP Shunting.

Incision: The surgeon makes an incision on the scalp under the effect of anesthesia to access the area where the shunt has to be placed.

Burr Hole: A small hole is made into the bone of the skull which is known as a burr hole. It helps to access the cavities inside the brain.

Ventricular Catheter Placement: The surgeon inserts a thin tube into the cavity of the brain through the burr hole. The tube is then tunneled under the skin from behind the ear to the neck and then to the chest area.

Valve Placement: In some cases, an adjustable or programmable valve is placed with a tube. This valve helps to regulate the flow of fluid from the brain.

Abdominal Incision: A second incision is made in the abdominal area. The surgeon placed a tube inside the abdominal cavity through which the fluid was drained into this cavity.

Connection: The ventricular tube and peritoneal tube are connected to complete the shunt circuit.

Closure: The incisions on the scalp and abdomen are closed with the help of sutures and medications are applied to prevent any infection.

Cost of VP Shunting Surgery in India

The cost of VP Shunting Surgery Treatment in India ranges from ₹ 3,14,000 to ₹ 3,85,000. The cost can vary according to the type of shunting device used in the surgery. The cost can also vary according to the complication of each patient and the skills of a surgeon.

VP Shunting Surgery Treatment in India Min in INR Max in INR
VP Shunting-Progammable Device ₹ 3,14,000 ₹ 3,85,000
VP Shunting ₹ 2,30,000 ₹ 3,50,000

 

VP Shunting  Surgery Costs in Different Cities of India 

VP Shunting  Costs in Different Cities of India Min in INR Max in INR
New Delhi ₹ 1,55,500 ₹ 2,49,000
Gudgaon ₹ 1,58,000 ₹ 2,45,000
Noida ₹ 1,48,525 ₹ 2,55,875
Chennai ₹ 1,59,360 ₹ 2,35,205
Mumbai ₹ 1,60,094 ₹ 2,49,774
Banglore ₹ 1,52,626 ₹ 2,40,306

 

Symptoms & Risk Factors of VP Shunting Surgery

Indications of VP Shunting

Some of the conditions in which VP shunting surgery is performed are as follows:

  • Brain Water Buildup (Hydrocephalus)
  • High Brain Pressure (Intracranial Hypertension)
  • Memory Problems with Fluid Buildup (Normal Pressure Hydrocephalus)
  • Headache and Eye Problems
  • Brain Malformation
  • Memory Loss with Fluid Issue 
  • Brain Fluid Buildup After Injury 
  • Birth Brain Fluid Problem 
  • Brain Fluid Issue with Tumors

Risk Factors of VP Shunting

Some of the risk factors that are associated with VP Shunting are as follows:

Infection

There is a risk of infection at the surgical site or along the tube of the shunt. It can occur late after the surgery.

Obstruction or Blockage

Sometimes, the shunt system can become blocked. This complication may require additional surgeries to remove the blockage.

Over-Drainage

In some cases, the fluid in the brain may be drained in large quantities which can lead to low pressure inside the brain. This can create many issues inside the brain.

Under-Drainage

The fluid can also be drained in less quantity which can lead to increased pressure inside the brain and can cause complications.

Valve Malfunction

A malfunction of the shunt valve can affect the drainage of fluid and may require valve replacement.

Hemorrhage

There is a risk of bleeding during or after the surgery.

Shunt Failure

The shunt system can fail to drain fluid after some time which may need revision surgery.

Migration

The shunt catheters can migrate from their intended positions to other places and can create complications.

Allergic Reaction

Some individuals may have allergic reactions to the materials used in the shunt system.

Scarring

Scarring of the surgical site or around the catheters can affect the function of the shunt.

Disconnection

Parts of the shunt system can become disconnected which can disturb the flow of fluid.

Treatment Costs for VP Shunting

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FAQ's of VP Shunting Treatment in India

VP shunting is used in conditions where pressure inside the brain increases due to excess fluid inside the cavities of the brain.

Some of the risk factors for the VP shunting procedure include infection, bleeding, over drainage, under drainage, and allergic reactions.

The best hospitals for VP Shunting Surgery Treatment in India are as follows: Apollo Hospital Fortis hospital Kokilaben Dhirubhai Ambani Hospital