Laparoscopic repositioning of malfunctioning peritoneal dialysis catheters.
Continuous ambulatory peritoneal dialysis is commonly used for the maintenance of patients with chronic renal failure. A common complication associated with this treatment is outflow obstruction of the catheter. Noninvasive approaches to outflow obstruction such as enemas, infusions of saline, and body position changes are rarely successful in the management of these complications (1). Herein we report a review of our experience with the use of laparoscopy for the evaluation and management of peritoneal dialysis catheters with outflow obstruction.
Kittur
D S
DS
Department of Surgery, Johns Hopkins Hospital, Baltimore, MD 21205.
Gazaway
P M
PM
Abidin
M R
MR
D000328:Adult; D002404:Catheterization / Q000009:adverse effects / Q000295:instrumentation; D015314:Dialysis Solutions / Q000008:administration & dosage; D004312:Douglas' Pouch / Q000473:pathology; D004868:Equipment Failure; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods; D008297:Male; D008875:Middle Aged; D009852:Omentum / Q000473:pathology / Q000601:surgery; D010529:Peritoneal Cavity / Q000473:pathology / Q000601:surgery; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000009:adverse effects* / Q000295:instrumentation*; D010532:Peritoneal Diseases / Q000473:pathology / Q000601:surgery; D013499:Surface Properties; D000267:Tissue Adhesions / Q000473:pathology / Q000601:surgery
D015314:Dialysis Solutions