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Ren Fail. 2019 Nov;41(1):113-117. doi: 10.1080/0886022X.2019.1583580.

Prophylactic laparoscopic omentopexy: a new technique for peritoneal dialysis catheter placement.

Author information

1
a Department of Nephrology , The First Affiliated Hospital of KangDa College of Nanjing Medical University, The First People's Hospital of Lianyungang , Lianyungang , China.
2
b Department of Urology , The First Affiliated Hospital of KangDa College of Nanjing Medical University, The First People's Hospital of Lianyungang , Lianyungang , China.
3
c Department of Haematology , The First Affiliated Hospital of KangDa College of Nanjing Medical University, The First People's Hospital of Lianyungang , Lianyungang , China.

Abstract

BACKGROUND:

Prophylactic laparoscopic omentopexy is a safe technique to prevent catheter obstruction during peritoneal dialysis (PD). Here we described a technique through which the omentopexy was accomplished by Hem-o-loks before PD catheter insertion.

METHODS:

The procedures of omentopexy were described. To evaluate the efficiency of this surgical method, a retrospective review of PD catheter insertion cases and their follow-ups were performed, covering 10 consecutive patients with end-stage renal disease.

RESULTS:

All patients showed no intraoperative events. No catheter flow obstruction, migration, exit-site infection appeared during the follow-up.

CONCLUSION:

Laparoscopic PD catheter insertion using omentopexy can decrease catheter obstruction and migration.

KEYWORDS:

Peritoneal dialysis; laparoscopy; omentopexy

PMID:
30909767
PMCID:
PMC6442096
DOI:
10.1080/0886022X.2019.1583580
[Indexed for MEDLINE]
Free PMC Article

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