Ventricular catheter removed and reinserted into the ventricle. Adequate CSF Flow was seen and catheter coupled to the arachnoid system. CSF leak around the foramen magnum identified and closed, with shunt tube reinforced with a purse string suture.
Wound lavaged with saline, then hydrogen peroxide then vancomycin saline. Op site was sprinkled with vancomycin powder before closing.
Wound closed in layers with vicryl / nylon suture.