Ventriculoperitoneal shunt surgery places a tube that runs from the brain to the belly.
Reasons for Procedure
This surgery is done to drain excess fluid from the brain to treat hydrocephalus. Excess fluid causes increased pressure in the head. This pressure can damage sensitive brain tissues. The shunt eases pressure on the brain by draining the extra fluid.
Small incisions will be made in the scalp and belly. A small hole is made in the skull. The tube is passed through the hole into the skull. Then, the catheter is passed under the skin down to the belly. This end of the tube is pulled into the belly. The incisions are closed. A bandage will be placed over the incisions.
How Long Will It Take?
1 to 1½ hours
Will It Hurt?
There will be discomfort at the incision sites that may last for a few days. Medicine and home care can help.
Average Hospital Stay
The usual length of stay is 3 to 7 days. If your child has any problems, they may need to stay longer.
At the Hospital
Right after the procedure, the staff may:
Have your child lay flat for up to 24 hours
Check the shunt to make sure it is working as it should
Give your child pain medicine
During your child's stay, the hospital staff will take steps to lower your child's risk of infection, such as:
Washing their hands
Wearing gloves or masks
Keeping your child's incisions covered
There are also steps you can take to lower your child's risk of infection, such as:
Washing your hands often and reminding visitors and staff to do the same
Reminding staff to wear gloves or masks
Not letting others touch your child's incisions
It will take about a week for the incisions to heal. Physical activity may be limited at first with a slow return to normal activities. Your child will need to delay returning to school.
Call Your Child’s Doctor
Call the doctor if your child is not getting better or has:
Symptoms that return
Signs of infection, such as fever and chills
A stiff neck
Redness, swelling, a lot of bleeding, or any discharge from the incision site
Pain that is not controlled by medicine
Been very sleepy
Not been eating or drinking enough
Call for emergency medical services right away if your child has:
Blue or gray skin color
Problems waking up and is not interacting
Not wanted to be held
If you think your child has an emergency, call for medical help right away.
About normal pressure hydrocephalus. National Hydrocephalus Association website. Available at: https://www.hydroassoc.org/about-normal-pressure-hydrocephalus. Accessed September 8, 2021.
Hydrocephalus in children. EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/hydrocephalus-in-children. Accessed September 8, 2021.
Hydrocephalus information page. National Institute of Neurological Disorders and Stroke website. Available at: https://www.ninds.nih.gov/Disorders/All-Disorders/Hydrocephalus-Information-Page. Accessed September 8, 2021.
Last reviewed July 2021 by
EBSCO Medical Review Board
Kari Kuenn, MD
Last Updated: 9/8/2021
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