Related Experiment Video
Updated: Jun 21, 2026
Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
Published on: October 14, 2022
How do I do it? Laparoscopic extraperitoneal reverse puncture technique for distal catheter placement in
ZhuoYing Du1,2,3, XiaoFei Zhang4, ShuangJie Wu4
1Department of Neurosurgery, Huashan Hospital, Fudan University, No. 958, Jing Guang Road, Minhang District, Shanghai, 201100, China.
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.
