Distal tubing: There are several methods used including endoscopic placement with only one or two small incisions. I like to make a small incision in the abdomen which is opened to the peritoneum. I then place a shunt passer in the peritoneum and over the liver into the subcutaneous (fat) space and pass it up into the neck to join the proximal shunt catheter.
Answered 5/14/2019
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