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Updated: Jun 27, 2026
Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
Published on: October 14, 2022
Burying shunts in bone cavities to protect delicate scalp
Michael Ellis1, Merdas Al-Otibi, Peter Bray
1Divisions of Neurosurgery, University of Toronto, Toronto Western Hospital, Toronto, Ontario, Canada.
Abstract:
The authors describe a simple technique for protecting at-risk scalp overlying CSF shunt hardware. Patients with brain tumors commonly undergo radiation therapy and CSF diversion. Chronic radiation-induced changes in the skin can predispose patients to skin breakdown over the prominent shunt reservoir, which may lead to subsequent contamination of the shunt hardware. The technique described reduces the risk of hardware contamination while obviating the need for revision of the entire shunt system. By reducing the profile of the CSF shunt reservoir, this technique also reduces the risk of future skin ulceration.
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