Minimally invasive surgery for salvage of malfunctioning peritoneal dialysis catheters

Journal of Minimal Access Surgery
Hrishikesh P SalgaonkarDeepraj S Bhandarkar

Abstract

Malfunction of continuous ambulatory peritoneal dialysis (CAPD) catheters is a frequent complication and has traditionally been treated with a laparotomy. We present our experience with minimally invasive surgical (laparoscopic and thoracoscopic) salvage of CAPD catheters. Between October 2003 and June 2013, 19 patients (13 males and 6 females with a mean age of 37 years [range 28-64]) underwent minimally invasive laparoscopic salvage of malfunctioning CAPD catheters. These catheters had been placed with either a percutaneous or open technique and had been in place for a mean of 4.5 months (range 2-18 months). All the salvage procedures were performed under general anaesthesia using one 10 mm and two or three 5 mm ports. The various manoeuvres undertaken to re-establish catheter function included correct positioning the catheter and anchoring it to the pelvic peritoneum, clearing the fibrin clot/sheath, freeing up the omentum/bowel/taenia coli. In addition, all patients underwent an omentopexy. Laparoscopic salvage could be completed in 18 patients with good catheter inflow and outflow established at the end of the surgery and one patient underwent thoracoscopic salvage. The median operative time was 63 min (range 45-96 min) an...Continue Reading

References

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Apr 5, 2003·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Zvi KleinZe'ev Korzets
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Sep 4, 2012·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Jian-Ri LiYen-Chuan Ou

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Citations

Mar 28, 2021·Journal of Vascular and Interventional Radiology : JVIR·Paul LiRahim Samji

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