Distal revision of ventriculoperitoneal shunts using a peel-away sheath: Technical note

R. Shane Tubbs, Cormac O. Maher, Ronald L. Young, Aaron A. Cohen-Gadol

Research output: Contribution to journalArticle

3 Scopus citations


The authors describe a new technique for revision of an occluded distal ventriculoperitoneal shunt catheter that obviates the need for laparotomy or trocar insertion into the peritoneal cavity. The authors review their early experience with 34 patients suffering from a distal ventriculoperitoneal shunt failure and treated with this technique. There were no incidents of intraabdominal injury or wound complications. In 2 patients conversion to a minilaparotomy was required for safe placement of the shunt. Proper peritoneal placement was confirmed with abdominal radiographs in all cases. This technique has been safe and effective and may be considered an alternative to traditional laparotomy or laparoscopic methods.

Original languageEnglish (US)
Pages (from-to)402-405
Number of pages4
JournalJournal of Neurosurgery: Pediatrics
Issue number4
StatePublished - Oct 1 2009


  • Distal revision
  • Hydrocephalus
  • Laparotomy
  • Ventriculoperitoneal shunt

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery
  • Pediatrics, Perinatology, and Child Health

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