VP Shunt in Israel

A ventriculoperitoneal (VP) shunt helps to remove the excess fluid and helps in preserving the normal pressure inside the cavity of the cranium. The extra fluid is drained either into chest or abdominal cavity through a drain or tube which is tunnelled inside the body. The purpose of a VP shunt is to let an escape route for this perilous fluid or blood accumulation. A VP shunt is a significant interference used for severe situations that yield pressure on the brain.

VP Shunt in Israel

VP Shunt treatment in Israel depends on the form and severity of the disease, as well as age and overall health status of the patient. In Israel, doctors have a holistic approach to VP Shunt surgery for both adults and children. Careful attention to maximizing restoration of lost function and postoperative rehabilitation. The success of VP Shunt procedures in Israel gives patients full recovery and works towards preventing the developmental ailments in children.

Cost Comparison

Israel is one of the highest-ranking countries with widespread health tourism. Israel has reached this place providing a high level of medicine, the nonstop introduction of advanced treatment methods and technologies, doctors' professionalism and also the prices of medical services.

Israel offers the excellent medical service at prices which on average 30 - 50% lesser than in American or European clinics. The patient should take a decision for himself on what is more important, the quality of medical services or cost.


Treatment and Cost

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10 Days Outside Hospital

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About the VP Shunt

  • Ventriculoperitoneal shunt is commonly known as VP shunt. It is a medical device that relieves pressure on the brain caused by excess cerebro-spinal fluid (CSF) accumulation. VP shunt is designed to primarily treat a medical condition called hydrocephalus, which occurs when excess CSF collects in the ventricles of the brain.
  • The role of fluid on the brain is to protect it from injury inside the skull. CSF acts as a delivery system for nutrients that the brain needs and takes away waste products. Fluid on the brain is reabsorbed into the blood.
  • Hydrocephalus occurs when the normal flow of CSF is disrupted or the reabsorbtion of CSF in the blood is reduced. This condition can, thus, create an adverse pressure on the tissues of the brain and harm it. A brain shunt surgery can help rectify this condition by diverting the CSF away from the brain, which restores normal flow and absorption of CSF. VP shunt is surgically placed inside one of the ventricles of the brain.

How is VP Shunt performed?

  • The management of hydrocephalus has always been a challenge for neurologists, neurosurgeons, engineers and medical device developers because the nature of CSF is unique to each patient. However, the development of VP shunt has made the treatment of hydrocephalus a bit easier. It has, in fact, become the most successful and primary therapy for hydrocephalus treatment.
  • A VP shunt looks like a tube and the shunt pathway contains some valves that act as on/off switches. The valve open when the pressure difference across the valve exceeds the valve opening pressure. These valves are usually set to a fixed pressure.
  • Some accessory devices may be added to the shunt to modify valve functions. Role of accessory devices is to counter gravitational forces and to minimize over drainage of CSF when a patient is in standing position. Further, a bubble like reservoir can provide an external approach to the brain shunt surgery for making any changes in the measurement of pressure.

Recovery from VP Shunt

Brain Shunt Surgery Recovery Time

  • Just after the VP shunt surgery, the patient is kept under close observation for an hour or so and then is transferred to his or her room. Usually, it takes 4 to 7 days for patients to leave the hospital, depending on their clinical progress.
  • During the hospital stay of the patient with shunt in head, the hospital staff will monitor the heart rate and blood pressure frequently and the specialist will suggest some preventive antibiotics. The result of this monitoring procedure will help determine recovery time after VP shunt. The specialist will make sure that the shunt in head is working properly and will remove the stitches or staples before the patient is discharged from hospital.
  • The patient can walk and move after the discharge from the hospital, but it may take 2 to 3 weeks to resume daily activities. Patient may feel tenderness in the neck or belly and probably feel tired. In some cases, the patient may have headache for a few weeks after the surgery, but should not experience much pain. Typically, every individual has different recovery time, depending on the age and medical needs.

Precautions After VP Shunt Surgery

The patient may need to lie flat for 24 hours after the shunt in head is placed. Patients are strictly recommended to follow the instructions of the doctor on how to take care of the shunt at home. Patients may be asked to take medicine after VP shunt surgery to prevent infection.Here are some of the precaution that you must take after the brain shunt surgery:

  • Rest and get enough sleep, it will help you recover.
  • Do not touch the valve on your head.
  • Avoid physically involving games and activities for at least 6 weeks.
  • Do not swim or take a shower until your stitches or staples are removed.
  • Take low-fat foods such as plain rice, boiled chicken, toast, and yogurt.
  • Do not take any new medications unless advised by the doctor.
  • Make sure to contact the doctor before continuing any blood thinner medicines such as clopidogrel, warfarin or aspirin.
  • Take pain medicines and antibiotics exactly as directed. Do not stop them just because you feel better.

VP Shunt Procedure Complications

The VP shunt procedure is a safe and most common procedure for the treatment of hydrocephalus. But it also involves some complication and risks. Some patients may be advised a VP shunt revision in case of complication or if the device fails to work. According to some studies, about 50 percent of VP shunting in the pediatric population fails within two years of placement and VP shunt revision is often required.However, VP shunt complication rate in adults is less. The most common VP shunt complications in adults are malfunction and infection.

  • VP shunt malfunction: Partial or complete blockage of the shunt that affects the function of VP shunt intermittently or fully is called malfunction. In VP shunt malfunction, CSF accumulates and resumes the symptoms of hydrocephalus.

VP shunt malfunction is a complication which can occur in adults and any other age group. The blockage can take place from tissue, blood cells or by bacteria. Both the ventricular catheter and the distal part of the catheter can be blocked by tissue from the ventricles or choroid plexus.

  • VP shunt infections: Infection in VP shunts is usually caused by a person’s own bacterial flora. The most common infection in VP shunt is because of a bacteria called Staphylococcus epidermidis. It is found on the surface of skin, sweat glands and in hair follicles deep within the skin.

This type of VT shunt infection is most commonly seen in one to three months after the surgery. Abdominal infection after VP shunt is also common. A person with VT shunt may also develop a generalized infection, which can become serious quickly.


Pros:

  • Patients return to usual routine in some days
  • No pain


Cons

  • Shunt may fail after a few years
  • Shunt replacement or removal has its own side effects

Patient Stories

Frequently Asked Questions

What is the health care infrastructure of Israel / Why should opt for Israel as a destination for your medical treatment?
Israel is one of the most developed countries in the world which has been rightly praised for the healthcare benefits it offers. Unlike historical times, Israel has upgraded and advanced itself to keep at par with the progression in the medical field and has thus been capable of providing the best of the best benefits to not only the native citizens but for tourists from all across the world. The reason why thousands of people prefer Israel over other countries is because of the high affordability of the medical facilities. The healthcare benefits of the hospitals and the clinics are competent with the major countries which means their services are uncompromised even though the packages can be availed at approximately 65% affordable rates.
What are the conditions of the hospitals in Israel? Are they JCI certified. What is the quality of the support staff in the hospitals?
Even though Israel is counted among one of the most affordable countries for medical treatments, the country houses best hospitals and clinics, which are teamed yo with professional physicians and surgeons as well as advanced medical equipment. Due to the quality of the treatment available, a number of hospitals and clinics in Israel have earned due JCI certification. Hence, some of the most popular hospitals in Israel which have attained JCI certification are:
  • Sheba Medical Center
  • Sourasky Medical Center
  • Rabin Medical Center
  • Rambam Medical Center
  • Assuta Hospital

Not only the doctors, the hospitals in Israel follow a strict protocol while selecting medical staffs, which is why, the quality of even the support staffs remain incomparable. The support staffs are also trained to handle emergency situations as well as critical cases with umpteenth care so as to ensure complete healthcare to the candidate undergoing minor to major procedures.

Are the doctors/surgeons in Israel of the best quality?
The doctors and surgeons in Israel are globally recognized for their excellent skills which has also garnered them with awards from reputed medical universities. A high number of complex and terminal cases have been successfully treated by the medical professionals working in the country. More than the progressing technology, the doctors are accredited for the impressive treatments in the United States of America, which is why, every year the USA records some of the highest number of medical tourists from various corners of the world.
What is the process for obtaining medical visa in Israel?
Visas for medical reasons are arranged by the sponsors directly through the government portal. However, the candidate should go through the procedure listed on the government portal so as to keep the documents and necessary photocopies, to be submitted, ready. In some cases, the candidate may also have to obtain a fresh permit from the Embassy mentioning the details and attaching the requirements to be followed. However, the documents needed for obtaining medical visa are:
  • Confirmation page of successfully filled visa application form
  • Visa fee paid and a photocopy of the receipt obtained for the same
  • Two passport size recent photographs not older than six months
  • Birth certificate, residential proof, employment proof, if any.
  • Civil status proof of the candidate
  • Minors require to provide signed consent of the parents or the guardians responsible
  • Medical certificate signed by the treating medical professional, mentioning clearly the cause of travel
  • Acceptance letter by the doctor being referred to, also stating the estimated time of stay required.
What support services does MediGence provide in Israel?
MediGence ensures a hassle-free medical travelling experience in Israel. Right from the beginning of the journey to the end, MediGence assists the candidates and the family with utmost care thereby making the stay as comfortable as it can be. Hence, here is a list of services provided for candidate satisfaction:
  • Visa Assistance
  • Free airport to hospital transfer
  • On-Ground Support
  • Teleconsultations
  • Accommodation Assistance
  • Rehabilitation and recovery services
Which are the best cities in Israel for medical treatment?
Israel is brimming with historic cities that have graced mankind with beautiful architecture. However, the country has also upgraded itself in terms of medical facilities. This, some of the best cities in Israel which are ideal for availing medical treatment are:
  • Ramat Gan
  • Beer Sheva
  • Tel Aviv
  • Haifa

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