Acta Scientific Women's Health (ASWH)(ISSN: 2582-3205)

Research Article Volume 2 Issue 2

Laparoscopic Peritoneal Dialysis Catheter Insertion

Saud Faleh Alomani*, Abdulrahaman Alballa, Ayed Almutairi, Nouf Yaseen and Taghreed Alajajee

Prince Sultan Military Medical City, Department of Surgery, Riyadh, Kingdom of Saudi Arabia

*Corresponding Author: Saud Faleh Alomani, Prince Sultan Military Medical City, Department of Surgery, Riyadh, Kingdom of Saudi Arabia.

Received: December 24, 2019; Published: January 29, 2019



Objective: To assess laparoscopic peritoneal dialysis (PD) catheter placement techniques and complications among End Stage Renal Disease (ESRD) patients at Prince Sultan Military Medical City (PSMMC), Riyadh, Kingdom of Saudi Arabia.

Methods: Retrospective review was performed on patients who underwent laparoscopic PD catheter placement with tunneling +/- adhesionlysis and omentopexy or omentectomy, between July 2008 and June 2018, by a single surgeon at Prince Sultan Military Medical City (PSMMC), Riyadh, Kingdom of Saudi Arabia.

Results: Two hundred and twenty-two patients underwent laparoscopic PD catheter insertion during the study period. Late complications encountered include: tuberculosis (TB) peritonitis in 9 patients (4%), catheter dysfunction in 13 patients (6%), adhesions in 2 patients (1%), bacterial peritonitis in 25 patients (11%), leakage in 15 patients (7%), and 16 patients (7%) developed an umbilical hernia. There is a superficial fungal infection around the catheter exit in one patient (0.45%), and exit-site bacterial infection in 7 patients (3%). Catheter remained active for the first insertion in 33 patients (15%) and was reinserted in 7 patients (3%). Fifty-one patients (23%) underwent renal transplantation, and 82 (37%) patients were switched to hemodialysis. Eleven patients (5%) were lost to follow up, and 45 patients (20%) died due to their chronic illness. Seven (28%) of the 25 patients with bacterial peritonitis were cured with conservative management in the form of antibiotics and other conservative measures. There was no procedure-related mortality or bleeding.

Conclusion: Laparoscopic PD catheter insertion is safe and effective. Utilization of this technique provides a low rate of PD catheter complications. However, we encountered a noticeable rate of peritoneal tuberculosis in our patients.

Keywords: Peritoneal Dialysis Catheter; Laparoscopic Surgery; Complications of Peritoneal Catheter Insertion



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Citation: Saud Faleh Alomani., et al. “Laparoscopic Peritoneal Dialysis Catheter Insertion”.Acta Scientific Women's Health 2.2 (2020): 54-57.


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