title: Malfunctioning peritoneal dialysis catheter repaired by laparoscopic surgery.
abstract: OBJECTIVE
  To review peritoneal dialysis catheter failures and to describe a technique of repairing malpositioned catheters.
  
  
  METHODS
  Two prospective case reports utilizing this technique are reported.
  
  
  METHODS
  A tertiary care hospital.
  
  
  METHODS
  Two patients on chronic peritoneal dialysis with malfunctioning catheters.
  
  
  METHODS
  Both patients underwent reposition of their malpositioned continuous ambulatory peritoneal dialysis catheters by laparoscopic suture technique.
  
  
  METHODS
  Outcome was measured by the successful return of adequate peritoneal dialysis.
  
  
  RESULTS
  Both case studies show correction of malpositioned catheters with the return of successful peritoneal dialysis.
  
  
  CONCLUSIONS
  The repositioning and suture application of malpositioned Tenckhoff catheters by laparoscopic surgery is a viable technique that can salvage the majority of malpositioned catheters and save the patients additional hospital time and recovery.
authors.affiliation: Allegheny General Hospital, University of Pittsburgh School of Medicine, Pennsylvania, U.S.A.
authors.forename: T B
authors.initials: TB
authors.lastname: Julian
authors.forename: U
authors.initials: U
authors.lastname: Ribeiro
authors.forename: F
authors.initials: F
authors.lastname: Bruns
authors.forename: D
authors.initials: D
authors.lastname: Fraley
mesh_terms: D000009:Abdominal Muscles / Q000601:surgery; D000328:Adult; D002408:Catheters, Indwelling / Q000009:adverse effects*; D004868:Equipment Failure; D005260:Female; D005548:Foreign-Body Migration / Q000601:surgery; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000009:adverse effects / Q000295:instrumentation*; D010537:Peritoneum / Q000601:surgery*; D011446:Prospective Studies; D013536:Suture Techniques; D016896:Treatment Outcome