The laparoscopic option in the management of peritoneal dialysis catheter revision
Long-term functioning of peritoneal dialysis catheters (PDCs) depends on maintenance of pelvic positioning and prevention of the formation of adhesions. The purpose of this study was to evaluate the validity of laparoscopy as a tool for the correction of malfunctioning PDCs and to introduce our spec...
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| Veröffentlicht in: | Surgical endoscopy 2002-04, Vol.16 (4), p.698-699 |
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| creator | OVNAT, A DUKHNO, O PINSK, I PEISER, J LEVY, I |
| description | Long-term functioning of peritoneal dialysis catheters (PDCs) depends on maintenance of pelvic positioning and prevention of the formation of adhesions. The purpose of this study was to evaluate the validity of laparoscopy as a tool for the correction of malfunctioning PDCs and to introduce our specially designed technique.
The charts of 12 patients who underwent laparoscopic revisions of malfunctioning PDCs between May 1997 and June 2000 were reviewed for perioperative complications and long-term outcomes. We describe the causes of malfunction of PDCs and the laparoscopic technique for their revision.
Of the 12 patients studied, the malfunction of eight catheters resulted from migration of the catheter into the upper abdomen. In 4 patients, formation of adhesion of either small bowel or omentum resulted in the malfunction of the PDC. The only complication we encountered was bleeding. It occurred in 3 patients, 1 of whom needed reoperation in order to achieve hemostasis. Over a median follow-up of 21 months all PDCs treated this way are functioning.
The laparoscopic management of malfunctioning PDCs is a valid option for the treatment of such a complication. |
| doi_str_mv | 10.1007/s00464-001-9140-4 |
| format | Article |
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The charts of 12 patients who underwent laparoscopic revisions of malfunctioning PDCs between May 1997 and June 2000 were reviewed for perioperative complications and long-term outcomes. We describe the causes of malfunction of PDCs and the laparoscopic technique for their revision.
Of the 12 patients studied, the malfunction of eight catheters resulted from migration of the catheter into the upper abdomen. In 4 patients, formation of adhesion of either small bowel or omentum resulted in the malfunction of the PDC. The only complication we encountered was bleeding. It occurred in 3 patients, 1 of whom needed reoperation in order to achieve hemostasis. Over a median follow-up of 21 months all PDCs treated this way are functioning.
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The charts of 12 patients who underwent laparoscopic revisions of malfunctioning PDCs between May 1997 and June 2000 were reviewed for perioperative complications and long-term outcomes. We describe the causes of malfunction of PDCs and the laparoscopic technique for their revision.
Of the 12 patients studied, the malfunction of eight catheters resulted from migration of the catheter into the upper abdomen. In 4 patients, formation of adhesion of either small bowel or omentum resulted in the malfunction of the PDC. The only complication we encountered was bleeding. It occurred in 3 patients, 1 of whom needed reoperation in order to achieve hemostasis. Over a median follow-up of 21 months all PDCs treated this way are functioning.
The laparoscopic management of malfunctioning PDCs is a valid option for the treatment of such a complication.</description><subject>Abdomen - pathology</subject><subject>Abdomen - surgery</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Catheters, Indwelling - adverse effects</subject><subject>Emergency and intensive care: renal failure. Dialysis management</subject><subject>Follow-Up Studies</subject><subject>Foreign-Body Migration - pathology</subject><subject>Foreign-Body Migration - surgery</subject><subject>Humans</subject><subject>Intensive care medicine</subject><subject>Intestine, Small - pathology</subject><subject>Intestine, Small - surgery</subject><subject>Laparoscopy - methods</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Omentum - pathology</subject><subject>Omentum - surgery</subject><subject>Peritoneal Dialysis - adverse effects</subject><subject>Peritoneal Dialysis - instrumentation</subject><subject>Peritoneal Dialysis - methods</subject><subject>Peritoneal Diseases - etiology</subject><subject>Peritoneal Diseases - prevention & control</subject><subject>Peritoneal Diseases - surgery</subject><subject>Postoperative Hemorrhage - surgery</subject><subject>Reoperation - methods</subject><subject>Tissue Adhesions - complications</subject><subject>Tissue Adhesions - prevention & control</subject><subject>Tissue Adhesions - surgery</subject><issn>0930-2794</issn><issn>1432-2218</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNpd0E1rGzEQgGFRWmLHzQ_IpYhActtk9LEfOgaTNgFDoCRnMSvPNjK7q620DuTfV8aGQE86zDODeBm7FHArAOq7BKArXQCIwggNhf7ClkIrWUgpmq9sCUZBIWujF-w8pR1kbkR5xhZCmPpgluz3yxvxHieMIbkwecfDNPswcj_yOY8GHPEPDTTOPHR8oujnMBL2fOux_0g-cYfZzRR5pHef8up39q3DPtHF6V2x158PL-vHYvP862l9vymcKvVctE0lldNAsjJUAzjlamq2YHQjnQQs0VQt6bbCthQNdKpUonMOqcatkxWpFbs53p1i-LunNNvBJ0d9jyOFfbK1qKTUDWR49R_chX0c89-sFEaruiwPSByRyyVSpM5O0Q8YP6wAe6htj7Vtrm0Pta3OOz9Oh_ftQNvPjVPeDK5PAJPDvos4Op8-napUoxuj_gFWyIeM</recordid><startdate>20020401</startdate><enddate>20020401</enddate><creator>OVNAT, A</creator><creator>DUKHNO, O</creator><creator>PINSK, I</creator><creator>PEISER, J</creator><creator>LEVY, I</creator><general>Springer</general><general>Springer Nature B.V</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20020401</creationdate><title>The laparoscopic option in the management of peritoneal dialysis catheter revision</title><author>OVNAT, A ; DUKHNO, O ; PINSK, I ; PEISER, J ; LEVY, I</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c354t-b8623c40e269e700c3c7e8d09482c20a5a96be4b6ab5180f3531fccae7adc26e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Abdomen - pathology</topic><topic>Abdomen - surgery</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Catheters, Indwelling - adverse effects</topic><topic>Emergency and intensive care: renal failure. Dialysis management</topic><topic>Follow-Up Studies</topic><topic>Foreign-Body Migration - pathology</topic><topic>Foreign-Body Migration - surgery</topic><topic>Humans</topic><topic>Intensive care medicine</topic><topic>Intestine, Small - pathology</topic><topic>Intestine, Small - surgery</topic><topic>Laparoscopy - methods</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Omentum - pathology</topic><topic>Omentum - surgery</topic><topic>Peritoneal Dialysis - adverse effects</topic><topic>Peritoneal Dialysis - instrumentation</topic><topic>Peritoneal Dialysis - methods</topic><topic>Peritoneal Diseases - etiology</topic><topic>Peritoneal Diseases - prevention & control</topic><topic>Peritoneal Diseases - surgery</topic><topic>Postoperative Hemorrhage - surgery</topic><topic>Reoperation - methods</topic><topic>Tissue Adhesions - complications</topic><topic>Tissue Adhesions - prevention & control</topic><topic>Tissue Adhesions - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>OVNAT, A</creatorcontrib><creatorcontrib>DUKHNO, O</creatorcontrib><creatorcontrib>PINSK, I</creatorcontrib><creatorcontrib>PEISER, J</creatorcontrib><creatorcontrib>LEVY, I</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Surgical endoscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>OVNAT, A</au><au>DUKHNO, O</au><au>PINSK, I</au><au>PEISER, J</au><au>LEVY, I</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The laparoscopic option in the management of peritoneal dialysis catheter revision</atitle><jtitle>Surgical endoscopy</jtitle><addtitle>Surg Endosc</addtitle><date>2002-04-01</date><risdate>2002</risdate><volume>16</volume><issue>4</issue><spage>698</spage><epage>699</epage><pages>698-699</pages><issn>0930-2794</issn><eissn>1432-2218</eissn><coden>SUREEX</coden><abstract>Long-term functioning of peritoneal dialysis catheters (PDCs) depends on maintenance of pelvic positioning and prevention of the formation of adhesions. The purpose of this study was to evaluate the validity of laparoscopy as a tool for the correction of malfunctioning PDCs and to introduce our specially designed technique.
The charts of 12 patients who underwent laparoscopic revisions of malfunctioning PDCs between May 1997 and June 2000 were reviewed for perioperative complications and long-term outcomes. We describe the causes of malfunction of PDCs and the laparoscopic technique for their revision.
Of the 12 patients studied, the malfunction of eight catheters resulted from migration of the catheter into the upper abdomen. In 4 patients, formation of adhesion of either small bowel or omentum resulted in the malfunction of the PDC. The only complication we encountered was bleeding. It occurred in 3 patients, 1 of whom needed reoperation in order to achieve hemostasis. Over a median follow-up of 21 months all PDCs treated this way are functioning.
The laparoscopic management of malfunctioning PDCs is a valid option for the treatment of such a complication.</abstract><cop>New York, NY</cop><pub>Springer</pub><pmid>11972218</pmid><doi>10.1007/s00464-001-9140-4</doi><tpages>2</tpages></addata></record> |
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| ispartof | Surgical endoscopy, 2002-04, Vol.16 (4), p.698-699 |
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| language | eng |
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| source | MEDLINE; SpringerNature Journals |
| subjects | Abdomen - pathology Abdomen - surgery Adolescent Adult Aged Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Catheters, Indwelling - adverse effects Emergency and intensive care: renal failure. Dialysis management Follow-Up Studies Foreign-Body Migration - pathology Foreign-Body Migration - surgery Humans Intensive care medicine Intestine, Small - pathology Intestine, Small - surgery Laparoscopy - methods Medical sciences Middle Aged Omentum - pathology Omentum - surgery Peritoneal Dialysis - adverse effects Peritoneal Dialysis - instrumentation Peritoneal Dialysis - methods Peritoneal Diseases - etiology Peritoneal Diseases - prevention & control Peritoneal Diseases - surgery Postoperative Hemorrhage - surgery Reoperation - methods Tissue Adhesions - complications Tissue Adhesions - prevention & control Tissue Adhesions - surgery |
| title | The laparoscopic option in the management of peritoneal dialysis catheter revision |
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