Distal shunt revision: a simple method to avoid repeat laparotomy

Neelan J. Marianayagam*, Gustavo Rajz, Netanel Ben Shalom, Sagi Harnof, Shalom Michowiz

*Corresponding author for this work

Research output: Contribution to journalComment/debate


Hydrocephalus is usually treated by placement of a ventriculo-peritoneal (VP) shunt. Distal VP shunt failure is a common complication of this procedure, especially in the paediatric population. Distal shunt revisions are often made more technically difficult by challenging abdominal anatomy. In this technical note, we describe a simple technique utilizing tenting sutures and the previous shunt tract for placement of the distal abdominal catheter accurately into the peritoneal space during distal shunt revision.

Original languageEnglish
Pages (from-to)677-678
Number of pages2
JournalBritish Journal of Neurosurgery
Issue number6
StatePublished - 2 Nov 2017
Externally publishedYes


  • Shunt revision
  • VP-shunt
  • distal shunt revision
  • hydrocephalus


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