Peritoneoscopy in the management of catheter malfunction during continuous ambulatory peritoneal dialysis

Wilson, Joanne A. P.; Swartz, Richard D.

doi:10.1007/bf01318180

Cited by 32 publications

(11 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Wilson and Swartz were the first to describe the laparoscopic correction of a poorly functioning peritoneal catheter [18]. Since then, others have used laparoscopic techniques to implant [1][2][3]16] and revise [5,[9][10][11]14] peritoneal catheters.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic salvage of malfunctioning peritoneal catheters

et al. 1997

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Laparoscopic salvage of malfunctioning peritoneal catheters

et al. 1997

View full text Add to dashboard Cite

show abstract

“…In fact, only 53% (9/17) of centers in the Pediatric Peritoneal Dialysis Study Consortium when surveyed said they routinely performed omentectomies [34]. However, as catheter obstructions, most commonly due to omental and fimbrial adhesions, are second only to peritonitis in terms of major catheter complications, with rates varying between 6 and 31% [35][36][37][38][39][40][41][42][43], the possible importance of omentectomy in preventing this problem should not be overlooked. Children in particular may be at higher risk of omental obstruction, and although subtotal omentectomies may cause significant bleeding and trauma, performing them at initial insertion may prevent the need for a second operation to correct an omental obstruction [44].…”

Section: Methodsmentioning

confidence: 98%

Clinical practice guidelines for pediatric peritoneal dialysis

et al. 2006

View full text Add to dashboard Cite

Peritoneal dialysis (PD) continues to be an important modality of treatment for children with end-stage renal disease. The Canadian Association of Pediatric Nephrologists recognized the need nationally to review the literature on the delivery of PD in children to provide optimal standardized care. This resulted in the development of the Canadian Clinical Practice Guidelines for pediatric PD. Clinical practice guidelines are a useful adjunct to clinical care. The present review includes recommendations for catheter placement and types, requirement for prophylactic omentectomy, initiation and adequacy of dialysis, PD prescription, and solute clearance. It provides physicians with updated evidence-based recommendations that include consideration towards practicality with the major goal of improved and standardized patient care.

show abstract

“…Various techniques have been used to solve this problem. In past decades, laparoscopy has changed practice patterns in many fields of surgery; peritoneoscopy has also started to be used for salvaging the malfunctioning dialysis catheter (3,4). Repositioning, adhesiolysis, omentectomy, and suture fixation of the catheter to the peritoneal wall are common laparoscopic procedures used for the treatment of catheter malfunction.…”

mentioning

confidence: 99%

Laparoscopic Findings of Peritoneal Dialysis Catheter Malfunction and Management Outcomes

et al. 2006

View full text Add to dashboard Cite

Objective Peritoneal dialysis catheter malfunction is a common complication forcing conversion to hemodialysis. The purpose of this study was to evaluate laparoscopic findings of catheter malfunction and to establish a relationship between those findings and the outcomes of procedures performed. Design Retrospective study. Setting A tertiary referral center. Patients 40 consecutive patients with stage 5 chronic kidney disease underwent 46 laparoscopic correction procedures for the treatment of peritoneal dialysis catheter malfunction between November 1994 and August 2004. Main Outcome Measures Laparoscopic findings of catheter malfunction, procedures performed, catheter survival, and recurrent cases were evaluated. Results There were 28 tip migrations in 40 patients; 16 were without adhesions and 10 were associated with omental adhesions. Reposition and adhesiolysis were the most frequent procedures performed. Malfunction recurred in 12 patients and 5 of them underwent 6 secondary laparoscopic procedures. Estimated mean catheter survival was 19.9 ± 3.32 months (%95 confidence interval 13.43 – 26.46). Conclusions The most frequent laparoscopic finding was catheter tip migration, with or without adhesions. Laparoscopic repositioning and adhesiolysis without omentectomy are simple and effective procedures that can prolong catheter survival, even in recurrent malfunctions.

show abstract

Peritoneoscopy in the management of catheter malfunction during continuous ambulatory peritoneal dialysis

Cited by 32 publications

References 8 publications

Laparoscopic salvage of malfunctioning peritoneal catheters

Laparoscopic salvage of malfunctioning peritoneal catheters

Clinical practice guidelines for pediatric peritoneal dialysis

Laparoscopic Findings of Peritoneal Dialysis Catheter Malfunction and Management Outcomes

Contact Info

Product

Resources

About