Distal Catheter

The currently preferred site of drainage is to the peritoneal cavity. Insertion into the peritoneal cavity is either by mini-laparotomy or the use of an abdominal trocar. In childhood, a suitable length of tubing is inserted into the peritoneal cavity in order to compensate for the effects of growth.

Alternative sites include the right atrium, the pleural cavity and the gall bladder. The ven-triculoatrial (VA) shunt was the preferred technique prior to the introduction of silastic catheters (previous catheter materials tended to incite a tissue reaction and become occluded); however, the consequences of VA shunt infection, including septicaemia and renal failure, were responsible for significant morbidity and mortality. Furthermore, the positioning of the catheter tip is critical in the atrial shunt (in order to maintain patency) and thus frequent revisions were necessary as the child grew. On occasion, the use of the peritoneal cavity will be precluded, for example following abdominal sepsis or in the presence of extensive post-surgical adhesions, and, in such situations, the atrial site is still used.

Cure Your Yeast Infection For Good

Cure Your Yeast Infection For Good

The term vaginitis is one that is applied to any inflammation or infection of the vagina, and there are many different conditions that are categorized together under this ‘broad’ heading, including bacterial vaginosis, trichomoniasis and non-infectious vaginitis.

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