[The reposition technique for treatment of obstruction or migration of the peritoneal dialysis catheter].
Continuous ambulatory peritoneal dialysis are widely used in the management of patients with chronic renal failure. The permanent presence of the catheter into the peritoneal cavity generate a series of specific complications. Two of the most important causes of dysfunctional peritoneal dialysis catheter are obstruction and malposition. Failure to restore the drainage function of the catheter by conservative method should be followed by a surgical procedure: laparoscopic reposition or replacing the catheter. This paper present an original technique which has some major advantages: required local anesthesia; doesn't replace the existing catheter; the dyalysis program could be started very quick after procedure; it is a feasible and reproducible technique.
Clinica de chirurgie, Spitalul Clinic de Urgenţă Sf. Ioan, Bucureşti. rubinmunteanu@hotmail.com
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Munteanu
D000328:Adult; D000368:Aged; D002404:Catheterization / Q000009:adverse effects / Q000379:methods*; D002408:Catheters, Indwelling; D005240:Feasibility Studies; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy; D007813:Laparotomy / Q000379:methods; D008875:Middle Aged; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000295:instrumentation*; D012189:Retrospective Studies