Tummy Tuck with VP Shunt?

Question

What is the process or experience with a tummy tuck and lipo with a VP shunt? I was previously booked for the past year, he literally cancelled 23 days out from my scheduled surgery due to my shunt. I provided full clearance and an x-ray as well as the direct clearance of the shunt and he still cancelled. I am very healthy and do CrossFit . I use to have pseudotumor or IIH been in remission for 8 years with no issues.My PCP from Mayo Clinic I’m great canidate

J. Timothy Katzen, MD, FACS · Answer

I'm sorry to hear about your surgery cancellation, especially after receiving clearance from your healthcare providers. It's important to understand that each plastic surgeon may have their own comfort level and experience with specific medical conditions or devices, like a VP shunt. In your case, it seems the surgeon might not have felt comfortable proceeding with the surgery due to your VP shunt.

It's crucial to find a plastic surgeon who has experience working with patients who have VP shunts or is willing to collaborate with your other healthcare providers to ensure your safety during and after the surgery. A thorough consultation, including a review of your medical history and open communication between your plastic surgeon, PCP, and other specialists involved in your care, is essential to minimize risks and achieve the best outcome possible.

Don't be discouraged by this cancellation. Keep looking for a plastic surgeon with experience or willingness to work with patients with VP shunts. Your health and safety should always be the top priority. Thank you for your question, and I wish you the best of luck in your search for the right plastic surgeon.

George Bitar, MD · Answer

I would be very cautious in proceeding with a tummy tuck and liposuction with a VP shunt.  You cannot perform liposuction anywhere near the VP shunt.  It may cause the VP shunt to be dislodged or damaged.  I would also consider the risks of a tummy tuck.  A VP shunt is usually placed in the upper part of the tummy, so it will likely be encountered during your surgery.  The VP shunt may become kinked when the skin is pulled tight.  Also, working near the VP shunt may also cause it to become infected or damaged.

Samuel Golpanian, MD · Answer

In cases with a VP shunt, it depends exactly where the shunt is tunneled and situated over the abdomen. It may be in an area that is not encountered during the tummy tuck. If it is, the surgeon who placed it can be in the operating room with the plastic surgeon to help guide the plastic surgeon to avoid hitting it or encountering it all together.

Vishnu Rumalla, MD · Answer

Thanks for your inquiry which is an interesting question.  The VP shunt should not be exposed if possible at the time of the abdominoplasty to prevent infection and a shunt leak/fistula.  No liposuction should be performed around the shunt so it is not injured.  Also as you pull the abdominal flap it may become kinked or dislodged. If your shunt is no longer needed--maybe have it removed as well?  It is best for your surgeon to be studied and prepared about surgery on you, it is best to be safe.

Daniel Barrett, MD · Answer

Dear Cute543992,
every plastic surgeon has his own preoperative protocol which he recommends to his patients. You will need to get a clearance from your doctor.I would suggest you to discuss this with your plastic surgeon.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Tummy Tuck with VP Shunt?

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Tummy Tuck with VP Shunt?

Answers (9)

Answer: VP shunt and tummy tuck

Answer: VP shunt and tummy tuck

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