Laparoscopic-assisted placement of a peritoneal dialysis catheter with partial omentectomy and omentopexy in dogs: an experimental study.
OBJECTIVE
To describe a technique of laparoscopic-assisted placement of a peritoneal dialysis (PD) catheter with simultaneously performed partial omentectomy and omentopexy.


METHODS
Pilot experimental study.


METHODS
Beagle dogs (n = 6).


METHODS
After placement of 1 sub-umbilical laparoscope portal and 1 instrument portal in the left cranial abdominal quadrant, laparoscopic-assisted partial omentectomy, and omentopexy were performed, and a modified Tenckhoff PD catheter was placed under laparoscopic guidance. A modified dialysis protocol was used twice daily for 4 days. The feasibility of the procedure, surgical duration, operative complications, and dialysis efficacy were evaluated. Postoperative pain and inflammation were graded (0-3).


RESULTS
The procedure was successfully performed in all dogs with a median operating time of 25 minutes. No operative complications occurred. Procedure-related postoperative pain and inflammation were minimal. Eight consecutive PD procedures were successfully performed, and no leakage or obstruction was observed.


CONCLUSIONS
Laparoscopic-assisted partial omentectomy and omentopexy can be performed at the same time as PD catheter placement with minimal morbidity.
Department of Small Animals and Horses, Clinic for Small Animal Surgery, Ophthalmology, Dentistry, Physiotherapy and Rehabilitation, University of Veterinary Medicine Vienna, Vienna, Austria. gilles.dupre@vetmeduni.ac.at
Gilles
G
Dupré
Karel
K
Čoudek
D000818:Animals; D004285:Dogs; D005260:Female; D010535:Laparoscopy / Q000379:methods / Q000662:veterinary*; D008297:Male; D009852:Omentum / Q000601:surgery*; D010530:Peritoneal Dialysis / Q000295:instrumentation / Q000662:veterinary*