A new laparoscopic technique for the placement of a permanent peritoneal dialysis catheter: the preperitoneal tunneling method

2004 ◽  
Vol 19 (2) ◽  
pp. 245-248 ◽  
Author(s):  
M. Comert ◽  
A. Borazan ◽  
E. Kulah ◽  
B. Hamdi Uçan
Keyword(s):  
Peritoneal Dialysis ◽  
Laparoscopic Technique ◽  
Peritoneal Dialysis Catheter ◽  
Dialysis Catheter ◽  
Tunneling Method

scholarly journals A New Simplified One-Port Laparoscopic Technique for Peritoneal Dialysis Catheter Placement

2014 ◽  
Vol 34 (1) ◽  
pp. 109-113 ◽  
Author(s):  
Chun-Yu Kao ◽  
Jiin-Haur Chuang ◽  
Shin-Yi Lee
Keyword(s):  
Peritoneal Dialysis ◽  
Abdominal Wall ◽  
Abdominal Wall Hernia ◽  
Catheter Placement ◽  
Laparoscopic Technique ◽  
Peritoneal Dialysis Catheter ◽  
Dialysis Catheter ◽  
Catheter Migration ◽  
Tenckhoff Catheter ◽  
Good Cosmesis

BackgroundVarious techniques for laparoscopic insertion of a peritoneal dialysis catheter have been described. Usually 2 – 3 ports are required, and complications related to the port sites (such as abdominal wall hernia, leakage, and hemorrhage) cannot be avoided. To minimize the potential complications, we designed a simplified 1-port laparoscopic technique for peritoneal dialysis catheter placement.MethodsWe conducted a retrospective data review of 44 patients who underwent 1-port laparoscopic insertion of a Tenckhoff catheter from June 2009 to February 2011. All patient data, including postoperative complications, were analyzed.ResultsThe mean follow-up period was 11.52 months. All catheters were working properly, except in 1 patient who developed peritonitis 3 months after catheter placement. (The catheter was removed.) No postoperative abdominal wall hemorrhage, early leaks, hernias, or catheter migration occurred. No exit-site or tunnel infections were observed.ConclusionsOur 1-port laparoscopic technique provides excellent catheter fixation, avoids excessive port sites, and yields good cosmesis. The low complication rate and the simplicity of the method justify its standard use for Tenckhoff catheter placement.

Experiences with Tenckhoff peritoneal dialysis catheter

2009 ◽  
Vol 150 (46) ◽  
pp. 2110-2114
Author(s):  
Tamás Regőczi ◽  
János Jósvay ◽  
András Bálint ◽  
János Csaba ◽  
Wanda Rákossy ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Conventional Technique ◽  
Implantation Technique ◽  
Laparoscopic Technique ◽  
Special Choice ◽  
Peritoneal Dialysis Catheter ◽  
Dialysis Catheter ◽  
Abdominal Incision ◽  
End Stage ◽  
Laparoscopic Assisted

Peritoneal dialysis is a generally accepted method for the treatment of patients with end-stage renal disease. Two main techniques for the insertion of the peritoneal catheter are known: open surgery and the laparoscopic-assisted technique. Aim: To describe our surgical procedure and implantation technique and to determine the outcome of our patients who underwent the conventional and the laparoscopic assisted placement of a catheter. Methods: Between September 2001 and June 2009, 124 patients underwent either conventional or laparoscopic peritoneal dialysis catheter insertion procedure. Results: 52 male, and 70 female patients were studied (mean age: 62 years), 110 conventional and 14 laparoscopic assisted operation were done. Conclusions: The traditional method for placement of peritoneal dialysis catheters is by “blind” insertion of the catheter through a small lower abdominal incision. The laparoscopic placement is a new but well-established technique and offers some advantages, such as a safer and accurate placement of the catheter under direct vision, less postoperative pain and complications, and a longer functional survival, compared to the conventional open technique. The functional outcome of the catheters was satisfactory in the majority of patients in this study. The conventional technique is simple, safe and has low costs, and in our opinion, it should be used for the most times, and the laparoscopic technique should be considered as the method of special choice in patients with end-stage chronic renal failure.

A new simplified one port laparoscopic technique of peritoneal dialysis catheter placement with intra-abdominal fixation

2006 ◽  
Vol 192 (1) ◽  
pp. 125-129 ◽  
Author(s):  
Haralampos V. Harissis ◽  
Christos S. Katsios ◽  
Elli L. Koliousi ◽  
Margarita G. Ikonomou ◽  
Konstantinos C. Siamopoulos ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Catheter Placement ◽  
Laparoscopic Technique ◽  
Peritoneal Dialysis Catheter ◽  
Dialysis Catheter

scholarly journals Extrusion of both Superficial and Deep Cuffs of a Functional Double-Cuff Peritoneal Dialysis Catheter after Significant Weight Loss

2021 ◽  
pp. 190-194
Author(s):  
Aravindh S. Ganapathy ◽  
Myron S. Powell ◽  
James L. Pirkle
Keyword(s):  
Weight Loss ◽  
Peritoneal Dialysis ◽  
Subcutaneous Tissue ◽  
Peritoneal Dialysis Catheter ◽  
Dialysis Catheter ◽  
Review Of The Literature ◽  
Significant Weight Loss ◽  
Exit Site ◽  
Special Circumstances ◽  
Uncommon Complication

Extrusion of the superficial cuff of a peritoneal dialysis (PD) catheter is an uncommon complication that may be associated with infection or malfunction. However, extrusion of both the superficial and deep cuffs of a double-cuff catheter is rare and uniformly associated with failure and peritonitis. We report a case of a presternal-type PD double-cuff catheter with extrusion of both cuffs through an abdominal exit site after 6 years of use that has remained functional, which has not been previously reported. In this case, the patient had achieved a 60-kg weight loss resulting in retraction of the subcutaneous tissue around both cuffs, while the catheter was held in place by the titanium connector between the presternal extension tubing and the inner, coiled catheter. In such special circumstances, extrusion of both cuffs may not necessitate urgent catheter removal. A review of the literature revealed previous cases of superficial cuff extrusions with catheters remaining functional but not with deep cuff extrusion.

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