title: Simultaneous Umbilical Hernia Repair with Transumbilical Ventriculoperitoneal Shunt Placement.
abstract: BACKGROUND
  Recently, placement of a ventriculoperitoneal shunt via a transumbilical approach has been reported.
  
  
  METHODS
  Herein, we report the repair of an umbilical hernia via the same incision and introduction of the distal end of a ventricultoperitoneal shunt into the peritoneal cavity in 3 patients. A case illustration is included.
  
  
  RESULTS
  Both hernia repair and placement of the distal end of the ventriculoperitoneal shunt were uncomplicated in our small case series.
  
  
  CONCLUSIONS
  To our knowledge, simultaneous repair of an umbilical hernia followed by transumbilical shunt placement has not been reported. As umbilical hernias are so common in infants, this finding, based on our experience, should not exclude placement of peritoneal tubing in the same setting.
authors.affiliation: Department of Anatomical Sciences, St. George's University, St. George's, Grenada.
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Montalbano
authors.forename: Marios
authors.initials: M
authors.lastname: Loukas
authors.forename: W Jerry
authors.initials: WJ
authors.lastname: Oakes
authors.forename: R Shane
authors.initials: RS
authors.lastname: Tubbs
mesh_terms: D006554:Hernia, Umbilical / Q000601:surgery*; D006801:Humans; D006849:Hydrocephalus / Q000601:surgery; D007223:Infant; D010535:Laparoscopy; D010529:Peritoneal Cavity / Q000601:surgery*; D017287:Ventriculoperitoneal Shunt / Q000379:methods*