PMC3015912_01
CT abdomen showing ventriculoperitoneal tubing coiled in subcutaneous space.
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F1
CT scan was again obtained, revealing that the shunt tubing had migrated back into the subcutaneous tissue (Figure 1).
Laparoscopic view of CT tubing coiled in subcutaneous tissue.
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F2
Adhesions were taken down at the original entry site of the shunt, revealing a 2-cm fascial defect in the abdominal wall with the shunt tubing coiled within it (Figure 2).
Ventriculoperitoneal tubing returned to the abdominal cavity.
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F3
The tubing was brought down through the defect out of the subcutaneous space and into the peritoneal cavity (Figure 3).
Ventriculoperitoneal shunt tubing sutured to PTFE mesh extracorporeally.
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F4
One port was upsized to 10mm, and the tubing was externalized through the port and secured to a 3-cm x 10-cm piece of PTFE mesh with 3-0 Prolene sutures (Figure 4).
PTFE mesh tacked to abdominal wall.
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F5
The mesh was secured to the abdominal wall by using spiral tacks and 0 Gore-Tex sutures (Figure 5).
Fixation of ventriculoperitoneal shunt tubing and incisional hernia repair.
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F6
It was secured with spiral tacks and 0 Gore-Tex sutures for transabdominal fixation (Figure 6).