[Laparoscopic correction of a displaced peritoneal dialysis catheter].
BACKGROUND
Peritoneal dialysis may be compromised by malfunction of the catheter due to catheter migration or omental adhesions. A prospective registration and analysis of the results of laparoscopic correction were performed.


METHODS
In a period of three years, laparoscopic peritoneal dialysis catheter correction was performed in 10 patients.


RESULTS
No peri- or postoperative complications were seen. After a median follow-up period of 14 months, four patients had functioning catheters (40%). In these four patients the catheters were anchored with a suture. In four other patients the catheter had been removed because of re-displacement due to lack of suturing at the correction, and in two it had been removed due to peritonitis.


CONCLUSIONS
Laparoscopic management is a valid means of correction of a malfunctioning dialysis catheter if the catheter is anchored with a suture.
Jess
Per
P
Hillerød Sygehus, Kirurgisk Enhed, Kirurgisk Afdeling K, Hil-lerød. pejes@fa.dk
Bulut
Orhan
O
D000328:Adult; D000368:Aged; D002408:Catheters, Indwelling / Q000009:adverse effects*; D005260:Female; D005500:Follow-Up Studies; D005548:Foreign-Body Migration / Q000209:etiology / Q000628:therapy*; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000009:adverse effects* / Q000295:instrumentation; D011446:Prospective Studies