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
Citation: Saud Faleh Alomani., et al. “Laparoscopic Peritoneal Dialysis Catheter Insertion”.Acta Scientific Women's Health 2.2 (2020): 01-04.
Copyright: © 2020 Saud Faleh Alomani., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.