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

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.