Treatment by Functional Electrical Therapy of an Unresolved Peritoneal Leakage in a Peritoneal Dialysis Patient

Sipahi, Savaş; Kırçelli, Fatih; Aydin, Peruze; Ulker, E.A.; Sarioglu, M.; Tamer, Ali

doi:10.3747/pdi.2011.00050

Cited by 1 publication

(1 citation statement)

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“…Laparoscopic guided insertion thoroughly explores the peritoneal cavity, maximizing the catheter tip position, and has a lower incidence of an adhesive complication 3 . There are several factors contributing to catheter dysfunction, such as catheter malposition, intraluminal obstruction (fibrin or blood clots), and extraluminal obstruction (omental wrapping or adhesions) 8 . However, one common complication related to CAPD catheters is migration of the catheter 9 , 10 .…”

Section: Introductionmentioning

confidence: 99%

Two plus one port laparoscopic assisted continuous ambulatory peritoneal dialysis insertion modified technique: a case series

Daniswara

Yudha

Santosa

et al. 2023

Annals of Medicine &Amp; Surgery

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Background: Continuous ambulatory peritoneal dialysis (CAPD) is one of the modalities for renal replacement therapy in patients with stage 5 chronic kidney disease. There are various techniques and modifications, but there is no main reference for laparoscopic catheter insertion. One common complication related to CAPD is the malposition of the Tenckhoff catheter. In this study, the authors present a modified laparoscopic technique for insertion that can prevent malposition of the Tenckhoff catheter by using two plus one port. Material and method: A retrospective case series from the medical records at Semarang Tertiary Hospital was identified between 2017 and 2021. Demographic, clinical, intraoperative, and postoperative complication data were collected with a 1-year follow-up after the CAPD procedure. Results: This study included 49 patients with a mean age of 43.2±13.6 years, and diabetes was the main cause (51.02%). This modified technique showed no complications intraoperatively. The postoperative complications were found to include one case of hematoma (2.04%), eight cases of omental adhesion (16.3%), seven cases of exit-site infection (14.28%), and two cases of peritonitis (4.08%). Malposition of the Tenckhoff catheter was not found 1-year after the procedure. Conclusion: The two plus one port modified laparoscopic assisted CAPD technique could prevent malposition of the Teckhoff catheter because it is already fixated in the pelvic. A long-term follow-up of 5 years is necessary to know the long-term survival of the Tenckhoff catheter in the next study.

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Section: Introductionmentioning

confidence: 99%