Laparoscopic Salvage of the Dysfunctional Peritoneal Dialysis Catheter

Peritoneal dialysis (PD) has been gaining favor recently as an alternative to hemodialysis (HD) in patients with end stage renal disease (ESRD). Despite the advantages of PD, its long-term success has been jeopardized by catheter malfunction, which frequently requires revision.1–3 The present study...

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Bibliographic Details
Published in:The American surgeon 2022-09, Vol.88 (9), p.2238-2240
Main Authors: Wei, Wei, Fanous, Medhat
Format: Article
Language:English
Subjects:
Abdomen
Adhesion
Appendicitis
Catheters
Dialysis
Hemodialysis
Laparoscopy
Medical instruments
Patients
Peritoneal dialysis
Peritoneum
Relocation
Revisions
Rural areas
Rural communities
Sepsis
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Summary:Peritoneal dialysis (PD) has been gaining favor recently as an alternative to hemodialysis (HD) in patients with end stage renal disease (ESRD). Despite the advantages of PD, its long-term success has been jeopardized by catheter malfunction, which frequently requires revision.1–3 The present study retrospectively reviewed patients who had laparoscopically placed PD catheters from May 2015 to January 2021 in a rural community hospital. Causes of PD Catheter Dysfunction Cases Age Sex Revision Procedure Intraperitoneal adhesion trapping 3 62 2F/1M PD catheter relocation and pexy Greater omental wrapping 3 39 1F/2M Omentopexy Small bowel encasement 2 65 2F PD catheter relocation and pexy F means female, m means male, PD means peritoneal dialysis.
ISSN:0003-1348
1555-9823
DOI:10.1177/00031348221093801