{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T09:56:07Z","timestamp":1774605367868,"version":"3.50.1"},"reference-count":25,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Normal pressure hydrocephalus (NPH) is a complex syndrome that requires diversion of cerebrospinal fluid in an absorbing compartment. Nowadays, lumboperitoneal shunt is widely validated as treatment option. We present a novel surgical technique to minimize post-surgical complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"st2\">\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>All patients treated for a NPH between 2019 and 2024 at our department were analyzed. Pre- and postoperative clinical and surgical data were assessed. A novel technique with curvilinear lumbar skin incision and tight valve fixing to the lumbar muscular fascia was described.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"st3\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>One hundred and eight patients were analyzed with a mean age of 76.5 years. Among these, nine patients had overdrainage symptoms that improved with valve pressure opening adjustment while in five patients, a computed tomography scan showed subdural hematoma of which one underwent surgical evacuation. No surgical complications occurred involving proximal catheter failure or valve malfunction. No infections or wound healing problem were reported. All patients presented neurological improvement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"st4\">\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>To our experience, our technique with curvilinear incision and valve fixing seems safe, effective, and could lower post surgical complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.25259\/sni_1314_2025","type":"journal-article","created":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T09:11:46Z","timestamp":1774602706000},"page":"174","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Minimizing complications in lumboperitoneal shunt for normal pressure hydrocephalus: Technical note and case series"],"prefix":"10.25259","volume":"17","author":[{"given":"Patrizia","family":"Pisano","sequence":"first","affiliation":[{"name":"Neurosurgery unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesco","family":"Salomi","sequence":"additional","affiliation":[{"name":"Neurosurgery unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesco","family":"Guerrini","sequence":"additional","affiliation":[{"name":"Neurosurgery unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Massimiliano","family":"Todisco","sequence":"additional","affiliation":[{"name":"Movement Disorders Research Center, IRCCS Mondino Foundation, Pavia, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giannantonio","family":"Spena","sequence":"additional","affiliation":[{"name":"Neurosurgery unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2026,3,27]]},"reference":[{"key":"10.25259\/SNI_1314_2025\/ref-1","first-page":"83","article-title":"Complications of lumboperitoneal shunts. A retrospective study of a series of 195 patients (214 procedures)","volume":"42","author":"Duthel","year":"1996","journal-title":"Neurochirurgie"},{"key":"10.25259\/SNI_1314_2025\/ref-2","doi-asserted-by":"crossref","first-page":"977123","DOI":"10.3389\/fsurg.2022.977123","article-title":"One-year outcome of a lumboperitoneal shunt in older adults with idiopathic normal pressure hydrocephalus","volume":"9","author":"Fang","year":"2022","journal-title":"Front Surg"},{"key":"10.25259\/SNI_1314_2025\/ref-3","doi-asserted-by":"crossref","first-page":"1024","DOI":"10.3171\/2018.5.JNS1875","article-title":"Outcomes and complications of different surgical treatments for idiopathic normal pressure hydrocephalus: A systematic review and meta-analysis","volume":"131","author":"Giordan","year":"2019","journal-title":"J Neurosurg"},{"key":"10.25259\/SNI_1314_2025\/ref-4","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1016\/0022-510X(65)90016-X","article-title":"The special clinical problem of symptomatic hydrocephalus with normal cerebrospinal fluid pressure. Observations on cerebrospinal fluid hydrodynamics","volume":"2","author":"Hakim","year":"1965","journal-title":"J Neurol Sci"},{"key":"10.25259\/SNI_1314_2025\/ref-5","doi-asserted-by":"crossref","first-page":"995","DOI":"10.1007\/s00701-017-3115-2","article-title":"Cost-effectiveness analysis of shunt surgery for idiopathic normal pressure hydrocephalus based on the SINPHONI and SINPHONI-2 trials","volume":"159","author":"Kameda","year":"2017","journal-title":"Acta Neurochir (Wien)"},{"key":"10.25259\/SNI_1314_2025\/ref-6","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1016\/j.wneu.2011.02.024","article-title":"Familiarization with lumboperitoneal shunt using some technical resources","volume":"76","author":"Kanazawa","year":"2011","journal-title":"World Neurosurg"},{"key":"10.25259\/SNI_1314_2025\/ref-7","doi-asserted-by":"crossref","first-page":"585","DOI":"10.1016\/S1474-4422(15)00046-0","article-title":"Lumboperitoneal shunt surgery for idiopathic normal pressure hydrocephalus (SINPHONI-2): An open-label randomised trial","volume":"14","author":"Kazui","year":"2015","journal-title":"Lancet Neurol"},{"key":"10.25259\/SNI_1314_2025\/ref-8","first-page":"15","article-title":"The differential diagnosis and treatment of normal-pressure hydrocephalus","volume":"109","author":"Kiefer","year":"2012","journal-title":"Dtsch Arztebl Int"},{"key":"10.25259\/SNI_1314_2025\/ref-9","doi-asserted-by":"crossref","first-page":"475","DOI":"10.1111\/j.1600-0404.1991.tb04998.x","article-title":"Clinical parameters in 74 consecutive patients shunt operated for normal pressure hydrocephalus","volume":"84","author":"Larsson","year":"1991","journal-title":"Acta Neurol Scand"},{"key":"10.25259\/SNI_1314_2025\/ref-10","doi-asserted-by":"crossref","first-page":"1059316","DOI":"10.3389\/fneur.2022.1059316","article-title":"Lumboperitoneal shunt surgery via continuous two-stage procedure: Technique notes and outcomes","volume":"13","author":"Li","year":"2022","journal-title":"Front Neurol"},{"key":"10.25259\/SNI_1314_2025\/ref-11","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1111\/j.1600-0404.2010.01432.x","article-title":"Cerebrospinal fluid dynamics and long-term survival of the Strata valve in idiopathic normal pressure hydrocephalus","volume":"124","author":"Lundkvist","year":"2011","journal-title":"Acta Neurol Scand"},{"key":"10.25259\/SNI_1314_2025\/ref-12","doi-asserted-by":"crossref","first-page":"S17","DOI":"10.1227\/01.NEU.0000168184.01002.60","article-title":"The value of supplemental prognostic tests for the preoperative assessment of idiopathic normal-pressure hydrocephalus","volume":"57","author":"Marmarou","year":"2005","journal-title":"Neurosurgery"},{"key":"10.25259\/SNI_1314_2025\/ref-13","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.1227\/01.NEU.0000168188.25559.0E","article-title":"Development of guidelines for idiopathic normal-pressure hydrocephalus: Introduction","volume":"57","author":"Marmarou","year":"2005","journal-title":"Neurosurgery"},{"key":"10.25259\/SNI_1314_2025\/ref-14","doi-asserted-by":"crossref","first-page":"E4","DOI":"10.3171\/2014.8.FOCUS14436","article-title":"A comparison of lumboperitoneal and ventriculoperitoneal shunting for idiopathic intracranial hypertension: An analysis of economic impact and complications using the Nationwide Inpatient Sample","volume":"37","author":"Menger","year":"2014","journal-title":"Neurosurg Focus"},{"key":"10.25259\/SNI_1314_2025\/ref-15","doi-asserted-by":"crossref","first-page":"1483","DOI":"10.3171\/2015.10.JNS151894","article-title":"One-year outcome in patients with idiopathic normal-pressure hydrocephalus: Comparison of lumboperitoneal shunt to ventriculoperitoneal shunt","volume":"125","author":"Miyajima","year":"2016","journal-title":"J Neurosurg"},{"key":"10.25259\/SNI_1314_2025\/ref-16","doi-asserted-by":"crossref","first-page":"775","DOI":"10.2176\/nmc.52.775","article-title":"Guidelines for management of idiopathic normal pressure hydrocephalus: Second edition","volume":"52","author":"Mori","year":"2012","journal-title":"Neurol Med Chir (Tokyo)"},{"key":"10.25259\/SNI_1314_2025\/ref-17","doi-asserted-by":"crossref","first-page":"577","DOI":"10.1016\/j.otc.2005.01.001","article-title":"Indications for cerebrospinal fluid drainage and avoidance of complications","volume":"38","author":"Moza","year":"2005","journal-title":"Otolaryngol Clin North Am"},{"key":"10.25259\/SNI_1314_2025\/ref-18","doi-asserted-by":"crossref","first-page":"387","DOI":"10.1016\/j.wneu.2014.08.004","article-title":"Use of external lumbar cerebrospinal fluid drainage and lumboperitoneal shunts with Strata NSC valves in idiopathic normal pressure hydrocephalus: A single-center experience","volume":"83","author":"Nakajima","year":"2015","journal-title":"World Neurosurg"},{"key":"10.25259\/SNI_1314_2025\/ref-19","doi-asserted-by":"crossref","first-page":"S4","DOI":"10.1227\/01.NEU.0000168185.29659.C5","article-title":"Diagnosing idiopathic normal-pressure hydrocephalus","volume":"57","author":"Relkin","year":"2005","journal-title":"Neurosurgery"},{"key":"10.25259\/SNI_1314_2025\/ref-20","doi-asserted-by":"crossref","first-page":"513","DOI":"10.4103\/0028-3886.121932","article-title":"Comparative study of lumboperitoneal shunt versus ventriculoperitoneal shunt in post meningitis communicating hydrocephalus in children","volume":"61","author":"Singh","year":"2013","journal-title":"Neurol India"},{"key":"10.25259\/SNI_1314_2025\/ref-21","doi-asserted-by":"crossref","first-page":"2556","DOI":"10.1007\/s00415-020-09844-x","article-title":"Lumboperitoneal shunt in idiopathic normal pressure hydrocephalus: A prospective controlled study","volume":"267","author":"Todisco","year":"2020","journal-title":"J Neurol"},{"key":"10.25259\/SNI_1314_2025\/ref-22","doi-asserted-by":"crossref","first-page":"1045","DOI":"10.1227\/01.NEU.0000255469.68129.81","article-title":"Complications of lumboperitoneal shunts","volume":"60","author":"Wang","year":"2007","journal-title":"Neurosurgery"},{"key":"10.25259\/SNI_1314_2025\/ref-23","doi-asserted-by":"crossref","first-page":"1230","DOI":"10.1111\/cns.13526","article-title":"Pathogenesis and pathophysiology of idiopathic normal pressure hydrocephalus","volume":"26","author":"Wang","year":"2020","journal-title":"CNS Neurosci Ther"},{"key":"10.25259\/SNI_1314_2025\/ref-24","first-page":"188","article-title":"Lumboperitoneal shunts: Review of 409 cases","volume":"52","author":"Yadav","year":"2004","journal-title":"Neurol India"},{"key":"10.25259\/SNI_1314_2025\/ref-25","doi-asserted-by":"crossref","first-page":"643","DOI":"10.3390\/medicina55100643","article-title":"Lumboperitoneal shunt: A new modified surgical technique and a comparison of the complications with ventriculoperitoneal shunt in a single center","volume":"55","author":"Yang","year":"2019","journal-title":"Medicina (Kaunas)"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/minimizing-complications-in-lumboperitoneal-shunt-for-normal-pressure-hydrocephalus-technical-note-and-case-series\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/minimizing-complications-in-lumboperitoneal-shunt-for-normal-pressure-hydrocephalus-technical-note-and-case-series\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T09:11:49Z","timestamp":1774602709000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/minimizing-complications-in-lumboperitoneal-shunt-for-normal-pressure-hydrocephalus-technical-note-and-case-series\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,27]]},"references-count":25,"alternative-id":["10.25259\/SNI_1314_2025"],"URL":"https:\/\/doi.org\/10.25259\/sni_1314_2025","relation":{},"ISSN":["2152-7806","2229-5097"],"issn-type":[{"value":"2152-7806","type":"electronic"},{"value":"2229-5097","type":"print"}],"subject":[],"published":{"date-parts":[[2026,3,27]]},"article-number":"174"}}