Malfunctioning Peritoneal Dialysis Catheter Repaired by Laparoscopic Surgery

Abstract

Objectives To review peritoneal dialysis catheter failures and to describe a technique of repairing malpositioned catheters. Design Two prospective case reports utilizing this technique are reported. Setting A tertiary care hospital. Patients Two patients on chronic peritoneal dialysis with malfunctioning catheters. Intervention Both patients underwent reposition of their malpositioned continuous ambulatory peritoneal dialysis catheters by laparoscopic suture technique. Main Outcome Measures Outcome was measured by the successful return of adequate peritoneal dialysis. Results Both case studies show correction of malpositioned catheters with the return of successful peritoneal dialysis. Conclusion The repositioning and suture application of malpositioned Tenckhoff catheters by laparoscopic surgery is a viabletechnique that can salvage the majority of mal positioned catheters and save the patients additional hospital time and recovery.