Laparoscopic repositioning of a continuous ambulatory peritoneal dialysis (CAPD) catheter

Abstract

We describe a laparoscopic technique for relieving obstruction of a continuous ambulatory peritoneal dialysis (CAPD) catheter. Laparoscopic repositioning of the catheter and omentectomy obviated the need for laparotomy in a patient with end-stage renal disease.

Laparoscopic omental fixation technique versus open surgical placement of peritoneal dialysis catheters

“…A major and frustrating complication is mechanical outflow obstruction, which is reported to occur in up to 60% of patients [10]. PD catheter obstruction is frequently caused by omentum blocking the side holes of the catheter tubing [20].…”

Primary laparoscopic placement of peritoneal dialysis catheters in children and young adults

“…Peritoneoscopic assistance has been used on occasion in the primary placement of peritoneal dialysis catheters in patients with previous intraabdominal surgeries [1,11]. Laparoscopic salvage and lysis of adhesions for malfunctioning PD catheters are wellestablished procedures in the adult population [5,8,13]. In children, whose pelvis is shallow, placement of a PD catheter is often associated with extrapelvic migration, resulting in catheter malfunction.…”

Guidelines for laparoscopic peritoneal dialysis access surgery

“…Selective use of omentectomy has been advocated by several authors [129,219,220,[223][224][225][226], although omentopexy may be less complicated [226,227]. This can be accomplished in a variety of ways, depending on the preference of the operating surgeon.…”