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  • Title: [Laparoscopic correction of a displaced peritoneal dialysis catheter].
    Author: Jess P, Bulut O.
    Journal: Ugeskr Laeger; 2006 Aug 21; 168(34):2808-9. PubMed ID: 16942702.
    Abstract:
    INTRODUCTION: 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. MATERIALS AND 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. CONCLUSION: Laparoscopic management is a valid means of correction of a malfunctioning dialysis catheter if the catheter is anchored with a suture.
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