title: Use of adipose tissue to ease compatibility of a stylet with its sheath during ventriculoperitoneal shunt placement: technical note.
abstract: BACKGROUND
  When placing a ventriculoperitoneal shunt in adults, we have found it is often difficult to insert or remove the stylet of the shunt passer. Saline fails to provide sufficient lubrication, and the biocompatibility of mineral oil has not been substantiated.
  
  
  OBJECTIVE
  The authors describe a novel technique to ameliorate this problem.
  
  
  METHODS
  Ventriculoperitoneal shunt placement is a common procedure within neurosurgery. This technique is conceivably applicable to all patients requiring diversion of cerebrospinal fluid.
  
  
  METHODS
  A small amount of adipose tissue is harvested from the incision in the abdominal wall. The adipose tissue is rubbed along the stylet before it is inserted into the sheath.
  
  
  CONCLUSIONS
  Autologous adipose tissue can be used safely and effectively as a lubricant for ventriculoperitoneal shunt passers to facilitate the compatibility of a stylet with its sheath. The technique thereby eases the process of passing distal shunt tubing.
authors.affiliation: Division of Neurological Surgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona, USA.
authors.forename: Mark E
authors.initials: ME
authors.lastname: Oppenlander
authors.forename: Harold L
authors.initials: HL
authors.lastname: Rekate
mesh_terms: D034861:Abdominal Wall / Q000033:anatomy & histology / Q000601:surgery*; D000273:Adipose Tissue / Q000033:anatomy & histology / Q000601:surgery*; D002404:Catheterization / Q000295:instrumentation / Q000379:methods*; D002408:Catheters, Indwelling / Q000592:standards; D006801:Humans; D006849:Hydrocephalus / Q000503:physiopathology / Q000601:surgery*; D054327:Lubricants; D008153:Lubrication / Q000379:methods; D009339:Needles / Q000592:standards; D010529:Peritoneal Cavity / Q000033:anatomy & histology / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology / Q000503:physiopathology / Q000517:prevention & control; D017287:Ventriculoperitoneal Shunt / Q000295:instrumentation* / Q000379:methods*
chemical_list: D054327:Lubricants