PMID: 8967883Dec 1, 1995Paper

Laparoscopic mesenterioadhesiotomy and Tenckhoff catheter placement in patients with predisposing abdominal surgery

Artificial Organs
S KuriharaH Yoneshima

Abstract

Peritoneoscopic surgery has been performed widely for a variety of abdominal surgical diseases. We describe here a safe and reliable technique of laparoscopic-assisted mesenterioadhesiotomy and peritoneal Tenckhoff catheter placement in patients who have previously undergone abdominal surgery. Five patients suffering from end-stage renal failure previously underwent single and/or polyabdominal surgery. The surgical procedures included hysterectomy, ovarian resection, appendectomy, and transabdominal right nephrectomy. Under general endotrachial anesthesia, a laparoscope was placed down through a direct cut made using a trocar. After CO2 gas insufflation, another one or two trocars were put in place for surgical procedures. To avoid intestinal injury, mesenterioadhesiotomy was performed carefully using a high-frequency hook electrode, forceps, and scissors forceps, and the Tenckhoff catheter was subsequently inserted with forceps directly into Douglas' fossa. Peritoneal equilibration tests performed 30-70 days after the initiation of continuous ambulatory peritoneal dialysis (CAPD) treatment revealed moderate to good peritoneal effectiveness. This procedure permits the surgeon to perform safe and exact catheter placement into Do...Continue Reading

References

Dec 11, 1991·Surgical Laparoscopy & Endoscopy·R J FitzgibbonsG M Salerno
Jul 1, 1993·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·R Amerling, C Cruz

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Citations

Mar 15, 2013·JSLS : Journal of the Society of Laparoendoscopic Surgeons·William H CarlsonRicardo A Rendon
Oct 9, 2014·Surgical Endoscopy·Stephen HaggertyUNKNOWN SAGES Guidelines Committee
Jun 1, 2000·The Australian and New Zealand Journal of Surgery·G H Poole, P Tervit

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