{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:42:55Z","timestamp":1787071375160,"version":"build-2736575974"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Ventriculoperitoneal (VP) shunt placement is the most common treatment for hydrocephalus. Abdominal complications occur in up to a third of the patients, but incisional hernia at the site of catheter entry and presenting as acute intestinal obstruction is a rare occurrence. A 47-year-old female presented with an acute abdomen and on examination was found to have an irreducible L2W1 incisional hernia. Radiology revealed herniation of a loop of small bowel along with the intraperitoneal part of the VP shunt. Emergency diagnostic laparoscopy confirmed the findings. The bowel loop was reduced; the VP shunt was repositioned using a percutaneous suture passer. Hernia was repaired by performing a laparoscopic transabdominal retromuscular mesh repair with right transversus abdominis release. A minimally invasive approach, along with posterior component separation, allowed for a durable hernia repair, eliminated mesh\u2013shunt contact, minimised complications and enhanced recovery.<\/jats:p>","DOI":"10.4103\/jmas.jmas_488_25","type":"journal-article","created":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T08:00:18Z","timestamp":1773388818000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Laparoscopic posterior component separation (transabdominal retromuscular + transversus abdominis release) for obstructed incisional hernia with ventriculoperitoneal shunt entrapment"],"prefix":"10.4103","author":[{"given":"Sumanta","family":"Dey","sequence":"first","affiliation":[{"name":"Department of General and GI Surgery, Manipal Hospitals, Kolkata, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arnesh","family":"Agrawal","sequence":"additional","affiliation":[{"name":"Department of General and GI Surgery, Manipal Hospitals, Kolkata, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kunal","family":"Banerjee","sequence":"additional","affiliation":[{"name":"Department of General and GI Surgery, Manipal Hospitals, Kolkata, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rohit Kumar","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of General and GI Surgery, Manipal Hospitals, Kolkata, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saptarshi","family":"Bhattacharya","sequence":"additional","affiliation":[{"name":"Department of General and GI Surgery, Manipal Hospitals, Kolkata, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Soham","family":"Karmakar","sequence":"additional","affiliation":[{"name":"Department of General and GI Surgery, Manipal Hospitals, Kolkata, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad","family":"Sarwar","sequence":"additional","affiliation":[{"name":"Department of General and GI Surgery, Manipal Hospitals, Kolkata, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,3,13]]},"reference":[{"key":"R2-20260313","first-page":"e13230","article-title":"Abdominal complications related to ventriculoperitoneal shunt placement: A comprehensive review of literature","volume":"13","author":"Ferreira","year":"2021","journal-title":"Cureus"},{"key":"R3-20260313","first-page":"3465805","article-title":"Incisional hernia following ventriculoperitoneal shunt 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review and meta-analysis","volume":"276","author":"Hartog","year":"2022","journal-title":"Ann Surg"}],"container-title":["Journal of Minimal Access 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