Laparoscopic VP Shunt Placement (image) Journal of Neurosurgery Publishing Group Share Print E-Mail Caption A 5-mm optic trocar is inserted next to the navel after a sufficient pneumoperitoneum has been established. A peel-away needle is used to puncture the peritoneum. The distal shunt, which has been subcutaneously tunneled from the head toward the abdomen, is inserted through the needle and placed into the peritoneal cavity under direct laparoscopic vision. Credit Philippe Schucht Usage Restrictions Permission must be obtained before reuse. Contact email@example.com if you want permission to reuse this figure. Share Print E-Mail Disclaimer: AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert system.