Endoscopic Third Ventriculostomy (ETV) Discharge Instructions

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About the Surgery

What is a Endoscopic Third Ventriculostomy (ETV)?

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Endoscopic third ventriculostomy is an alternative surgical procedure that creates a bypass for the cerebrospinal fluid in the head that eliminates the need for a shunt.The goal of an ETV is to bypass the obstruction causing the hydrocephalus by diverting it through the floor of the third ventricle.

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Day of the Surgery

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  • Your surgical team will be with you every step of the way
  • You will be in the ICU after your surgery
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After the Surgery

Home Care

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Incision Care

  • Wash incision daily with shampoo and water ( application of antibiotic ointment not necessary unless instructed by Neurosurgery team)
  • You may scrub incision lightly to help prevent scab formation
  • No beach/pool ( 1st month after surgery) or  until cleared by Neurosurgery
  • Avoid direct sunlight on incision ( May wear a cap or hat to go outside)
  • Do not scratch incision

Activity

  • Keep activity level  back to normal or light until you are seen in clinic
  • May return to school  after second week post-surgery, unless not cleared by Neurosurgery
  • No participation in Physical Education for 1 month or until cleared by Neurosurgery

Pain control

  • You may take over the counter medications, which include:
    • Acetaminophen every 4 hours or Motrin every 6 hours if needed
    • These medications can be alternating

Follow-up Office Visit

  • You will be seen in Neurosurgery office approximately 10-14 days after leaving the hospital for symptom evaluation and suture removal, if sutures are not dissolvable 
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When to call the office

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  • Fever greater than 101.5°F oral or axillary
  • Increased swelling, redness, or oozing from incision area
  • Signs of increased intracranial pressure:
    • Infants: Fontanel full and tense on infant  who is upright and quiet, poor feeding, episodes of spitting up or vomiting, increased sleeping, eyes always looking down, or irritability
    • Children: persistent headache not relieved with pain medication, often associated with nausea/vomiting, changes in alertness  
*These symptoms requires immediate attention as it can potentially lead to a coma. Return to emergency room during off hours and unable to communicate with office*
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Resources

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Questions or Concerns?
Call us @ 305-662-8386


This page was last updated on: November 10, 2020 01:43 PM

Learn more about

Hydrocephalus

Hydrocephalus is primarily an excessive accumulation of fluid in the brain. There are many cause of hydrocephalus, which can be congenital or acquired in nature. In some children, the cause remains unknown. Learn more

Endoscopic Third Ventriculostomy with Choroid Plexus Cauterization

Endoscopic third ventriculostomy with choroid plexus cauterization is a surgical treatment option for hydrocephalus, or fluid on the brain. Learn more