{"id":"a9388782-3054-493a-8c82-b825c97956dd","slug":"creating-of-fascial-sheath-around-subcutaneous-lumboperitoneal-shunt-catheters-largely-prevents-postoperative-subcutaneous-shunt-catheter-migration","title":"Creating of “fascial sheath” around subcutaneous lumboperitoneal shunt catheters largely prevents postoperative subcutaneous shunt catheter migration","authors":["Tatsuya Tanaka","Hirofumi Goto","Nobuaki Momozaki","Eiichiro Honda"],"abstract":"Background: Spinal catheter migration into the subcutaneous tissue is common after lumboperitoneal shunt (LPS) placement. This study proposed a new method (i.e., wrapping fascia around the catheter like a sheath) to prevent LPS spinal catheter migration. Methods: After a LPS spinal catheter was inserted under routine fluoroscopic guidance, and the paravertebral muscle fascia was closed, the fascia was sutured to wrap the catheter like a sheath using intermittent sutures. Results: Before the introduction of this technique, the rate of LPS spinal catheter subcutaneous migration was 4.6%. In this study, following LPS shunt placement in 18 consecutive patients with normal pressure hydrocephalus, no further spinal catheter migrations were observed. Conclusion: This novel method of “wrapping the LPS catheter with intermittent suture like a sheath” was found to be safe and effective for preventing further spinal catheter subcutaneous migration.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/a9388782-3054-493a-8c82-b825c97956dd/featured/hero-1781560759121.png","publishDate":"2022-11-11T00:00:00.000Z","doi":"10.25259/SNI_978_2022","categories":["Spine","Original Article"],"fullTextUrl":"https://surgicalneurologyint.com/api/articles/a9388782-3054-493a-8c82-b825c97956dd/pdf"}