Posterior flank approach to the peritoneum for ventriculoperitoneal shunting

Crystl D. Willison, Thomas A. Kopitnik, Howard H. Kaufman, William Tarry, Richard Vaughan

Research output: Contribution to journalComment/debatepeer-review

1 Scopus citations


We report a technique for insertion of a distal shunt catheter into the peritoneal cavity through a posterior incision. This has been helpful in patients with impaired access anteriorly. It may also be useful in elective situations. We have performed this procedure on 3 infants where the traditional anterior approaches would have been difficult due to subcutaneous scar tissue, ostomy sites and anterior intra-abdominal adhesions. This technique was safe and provided easy access to the peritoneal cavity. Complications would be similar to those for the standard ventriculoperitoneal shunts including bowel perforation, damage to the kidney or liver, infection and occasionally posterior cervical webbing that may cause pain locally or pull the head into an extended position.

Original languageEnglish (US)
Pages (from-to)313-315
Number of pages3
JournalPediatric Neurosurgery
Issue number6
StatePublished - 1990
Externally publishedYes


  • Cerebrospinal fluid shunt
  • Hydrocephalus

ASJC Scopus subject areas

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


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