How do I do it? Laparoscopic extraperitoneal reverse puncture technique for distal catheter placement in ventriculoperitoneal shunting.

Du, ZhuoYing; Zhang, XiaoFei; Wu, ShuangJie; Yuan, Qiang; Tang, YiFan · Acta Neurochir (Wien) · 2026

other · Level V

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Abstract

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. In this technical note, we introduce the workflow of the LERP technique for a safe and reliable distal catheter fixation. The LERP technique can provide safe and reliable distal catheter fixation and may help reduce distal catheter migration related complications in VPS.