Normal Surgical drapping after routine cleaning.
The Cranial part was marked at the Dandy's point posteriorly. An incision was effected with draniotome to the dura level. Abdominal  part was also mobilized, marked and incised. The peritonium was reached using sharp and blund dissections and graspped with artery forcepts. 
An adult tunnelar was passed caudo-cranially. A high pressure shunt (Chhubra India) was successfully reconstructed and placed ventriculo-peritoneally,
Wounds closed in layers using Vicryl.