Technical note introduces a new technique to improve distal catheter fixation in ventriculoperitoneal shunting, suggesting reduced complications.
Background Distal catheter migration and obstruction remain a significant cause of shunt failure after ventriculoperitoneal shunting (VPS). A fast and reliable distal catheter fixation can be achieved via a simple laparoscopic extraperitoneal reverse puncture (LERP) technique with minimum complications. Method In this technical note, we introduce the workflow of the LERP technique for a safe and reliable distal catheter fixation. Conclusion The LERP technique can provide safe and reliable distal catheter fixation and may help reduce distal catheter migration related complications in VPS.
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Du et al. (2026) studied this question.
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