{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T17:52:09Z","timestamp":1786125129455,"version":"build-2736575974"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["Operative Surg.","ONSURG"],"published-print":{"date-parts":[[2017,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>BACKGROUND AND IMPORTANCE<\/jats:title>\n                    <jats:p>Cerebrospinal fluid shunt placement is used to treat the various causes of hydrocephalus by redirecting the cerebrospinal fluid to the body, most commonly from the ventricle to the peritoneum. Distal catheter displacement from the peritoneal cavity can occur as a complication, necessitating reoperation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CLINICAL PRESENTATION<\/jats:title>\n                    <jats:p>We report 2 such cases in obese patients involving retropulsion of the distal tubing. To address this complication, we implanted a T-connector to the distal catheter construct.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION<\/jats:title>\n                    <jats:p>This study supports the use of a T-connector catheter construct to decrease and prevent the possibility of distal peritoneal catheter retropulsion in cases of elevated intra-abdominal pressure, both prophylactically and in revisions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ons\/opx050","type":"journal-article","created":{"date-parts":[[2017,4,5]],"date-time":"2017-04-05T18:59:23Z","timestamp":1491418763000},"page":"E33-E36","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["T-Connector Modification for Reducing Recurrent Distal Shunt Failure: Report of 2 Cases"],"prefix":"10.1227","volume":"13","author":[{"given":"Joseph A","family":"Carnevale","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Warren Alpert Medical School of Brown University, Providence, Rhode Island"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nigar","family":"Ahmedli","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Albert Einstein College of Medicine, Bronx, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John F","family":"Morrison","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University at Buffalo, Buffalo, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wael F","family":"Asaad","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Warren Alpert Medical School of Brown University, Providence, Rhode Island"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Petra","family":"Klinge","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Warren Alpert Medical School of Brown University, Providence, Rhode Island"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Albert","family":"Telfeian","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Warren Alpert Medical School of Brown University, Providence, Rhode Island"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2017,12]]},"reference":[{"issue":"5","key":"bib1-20240909","doi-asserted-by":"crossref","first-page":"1311","DOI":"10.2214\/AJR.09.2463","article-title":"Intraabdominal complications secondary to ventriculoperitoneal shunts: CT findings and review of the literature","volume":"193","author":"Chung","year":"2009","journal-title":"Am J Roentgenol."},{"issue":"1","key":"bib2-20240909","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1227\/01.NEU.0000311071.33615.E1","article-title":"Intra\u2010abdominal pressure: the neglected variable in selecting the ventriculoperitoneal shunt for treating hydrocephalus","volume":"62","author":"Sahuquillo","year":"2008","journal-title":"Neurosurgery"},{"issue":"1","key":"bib3-20240909","doi-asserted-by":"crossref","first-page":"80","DOI":"10.2176\/nmc.50.80","article-title":"Subcutaneous migration of distal ventriculoperitoneal shunt catheter caused by abdominal fat pad shift-three case reports","volume":"50","author":"Nagasaka","year":"2010","journal-title":"Neurol Med Chir (Tokyo)"},{"issue":"10","key":"bib4-20240909","doi-asserted-by":"crossref","first-page":"490","DOI":"10.2176\/nmc.49.490","article-title":"Migration of the Distal end of a ventriculoperitoneal shunt into the abdominal wall in an obese patient-case report","volume":"49","author":"Nakahara","year":"2009","journal-title":"Neurol Med Chir (Tokyo)"},{"issue":"7","key":"bib5-20240909","doi-asserted-by":"crossref","first-page":"614","DOI":"10.2176\/nmc.50.614","article-title":"Preventive stitching for migration of a peritoneal catheter into the abdominal wall after ventriculoperitoneal shunting-technical note","volume":"50","author":"Nakahara","year":"2010","journal-title":"Neurol Med Chir (Tokyo)"},{"issue":"1","key":"bib6-20240909","doi-asserted-by":"crossref","first-page":"15","DOI":"10.3171\/2011.4.PEDS10541","article-title":"A novel method for stereotactic, endoscope-assisted transtentorial placement of a shunt catheter into symptomatic posterior fossa cysts: clinical article","volume":"8","author":"Turner","year":"2011","journal-title":"J Neurosurg Pediatr."},{"issue":"6","key":"bib7-20240909","doi-asserted-by":"crossref","first-page":"1314","DOI":"10.3171\/2010.6.JNS10300","article-title":"A novel solution to reduce the complications of distal shunt catheter displacement associated with obesity: report of 3 cases","volume":"113","author":"Morrison","year":"2010","journal-title":"J Neurosurg."}],"container-title":["Operative Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/ons\/article-pdf\/13\/6\/E33\/30213262\/opx050.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/www.ovid.com\/01787389-201712000-00024","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T16:50:39Z","timestamp":1786121439000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/01787389-201712000-00024"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,3,31]]},"references-count":7,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2017]]}},"URL":"https:\/\/doi.org\/10.1093\/ons\/opx050","relation":{},"ISSN":["2332-4252","2332-4260"],"issn-type":[{"value":"2332-4252","type":"print"},{"value":"2332-4260","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,3,31]]},"assertion":[{"value":"2016-06-28","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2017-02-17","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}