{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,28]],"date-time":"2026-03-28T22:27:35Z","timestamp":1774736855185,"version":"3.50.1"},"reference-count":4,"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>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.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Methods: <\/jats:title>\n<jats:p>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.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Results: <\/jats:title>\n<jats:p>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.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st4\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>This novel method of \u201cwrapping the LPS catheter with intermittent suture like a sheath\u201d was found to be safe and effective for preventing further spinal catheter subcutaneous migration.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_978_2022","type":"journal-article","created":{"date-parts":[[2022,11,11]],"date-time":"2022-11-11T05:26:26Z","timestamp":1668144386000},"page":"528","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Creating of \u201cfascial sheath\u201d around subcutaneous lumboperitoneal shunt catheters largely prevents postoperative subcutaneous shunt catheter migration"],"prefix":"10.25259","volume":"13","author":[{"given":"Tatsuya","family":"Tanaka","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, International University of Health and Welfare, School of Medicine, Narita, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hirofumi","family":"Goto","sequence":"additional","affiliation":[{"name":"Department of Neurology, Imari Arita Kyoritsu Hospital, Arita, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nobuaki","family":"Momozaki","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Imari Arita Kyoritsu Hospital, Arita, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eiichiro","family":"Honda","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Shiroishi Kyoritsu Hospital, Shiroishi, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2022,11,11]]},"reference":[{"key":"10.25259\/SNI_978_2022\/ref-1","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1515\/ins-2013-0016","article-title":"Surgical technique for preventing subcutaneous migration of distal lumboperitoneal shunt catheters","volume":"1","author":"Kawahara","year":"2013","journal-title":"Innov Neurosurg"},{"key":"10.25259\/SNI_978_2022\/ref-2","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_978_2022\/ref-3","doi-asserted-by":"crossref","first-page":"437","DOI":"10.25259\/SNI_791_2022","article-title":"Incidence of radiculopathy following lumboperitoneal shunt placement without fluoroscopy for normal pressure hydrocephalus","volume":"13","author":"Tanaka","year":"2022","journal-title":"Surg Neurol Int"},{"key":"10.25259\/SNI_978_2022\/ref-4","doi-asserted-by":"crossref","first-page":"471","DOI":"10.1093\/ons\/opy176","article-title":"Fluoroscopic-guided paramedian approach for lumbar catheter placement in cerebrospinal fluid shunting: Assessment of safety and accuracy","volume":"16","author":"Tucker","year":"2019","journal-title":"Oper Neurosurg (Hagerstown)"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/creating-of-fascial-sheath-around-subcutaneous-lumboperitoneal-shunt-catheters-largely-prevents-postoperative-subcutaneous-shunt-catheter-migration\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/creating-of-fascial-sheath-around-subcutaneous-lumboperitoneal-shunt-catheters-largely-prevents-postoperative-subcutaneous-shunt-catheter-migration\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,11,11]],"date-time":"2022-11-11T05:26:29Z","timestamp":1668144389000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/creating-of-fascial-sheath-around-subcutaneous-lumboperitoneal-shunt-catheters-largely-prevents-postoperative-subcutaneous-shunt-catheter-migration\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11,11]]},"references-count":4,"alternative-id":["10.25259\/SNI_978_2022"],"URL":"https:\/\/doi.org\/10.25259\/sni_978_2022","relation":{},"ISSN":["2152-7806"],"issn-type":[{"value":"2152-7806","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,11,11]]},"article-number":"528"}}