Laparoscopic peritoneal dialysis catheter implantation using a Tenckhoff trocar under local anesthesia with nitrous oxide gas insufflation

Keshvari, Amir; Najafi, Iraj; Jafari-Javid, Mihan; Yunesian, Masud; Chaman, Reza; Taromlou, Mohammadkazem Nouri

doi:10.1016/j.amjsurg.2007.10.022

Cited by 44 publications

(42 citation statements)

References 21 publications

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“…Crabtree et al (15) pass the catheter through a perpendicular passage as the short distance (4 -6 cm) through the muscle. Soontraporanchai et al (16) also tunneled the catheter through the rectus sheath and in addition they sutured the catheter to the pelvic peritoneum.…”

Section: Discussionmentioning

confidence: 99%

Preperitoneal Tunneling – a Novel Technique in Peritoneal Dialysis Catheter Insertion

et al. 2014

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The catheter problems regardless of placement technique are variable as 2 to 31% for flow dysfunction and catheter displacement (1,2) and 1 to 27% for pericatheter leak and hernia (3,4). The most common causes of catheter dysfunction are migration, fibrin clot and omental wrapping (5).Insertion of PDC under direct visualization by laparoscopy affords a number of advantages including decreased operating time, less perioperative pain and fewer complications compared to an open surgical approach (6,7). Various laparoscopic techniques have been described for catheter placement to reduce complications and improve results (7-9). These efforts include rectus sheath tunneling, omentectomy, selective prophylactic omentopexy, catheter fixation by suturing and selective resection of epiploic appendices and adhesiolysis.The aim of this study is to present a novel technique for laparoscopic placement of PDC through a preperitoneal tunnel which can reduce complications and improve catheter survival. PaTIeNTs aND MeThoDsThis project was designed as a prospective interventional study, approved by the Research Committee and financially supported by the Research Deputy of Mashhad University of Medical Sciences. To reduce ambiguous results, we excluded patients who had a possibility of existing abdominal adhesion due to several abdominal operations, intestinal or urinary ostomy, or severe coagulopathies. With their informed consent, the patients were systematically examined. From

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Section: Discussionmentioning

confidence: 99%

Preperitoneal Tunneling – a Novel Technique in Peritoneal Dialysis Catheter Insertion

et al. 2014

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“…[8][9][10][11][12][13] Different methods of peritoneal dialysis catheter insertion have been described. Among these techniques laparoscopic peritoneal dialysis catheter insertion had been reported to be the method of choice with low visceral injury, bleeding, incisional hernia and catheter disfunction risks.…”

Section: Discussionmentioning

confidence: 99%

“…[4,6,7,13,16,17] Studies including local, sedation and regional blocks are very limitted and they have frequently used helium and nitrous oxide insufflation agents. [12,[26][27][28] Limitted use of other inter gases such as nitrous oxide and helium with respect to carbondioxde is a limitting factor in the use of sedation and local anesthesia techniques in laparoscopic peritoenal dialysis insertion modality.…”

Section: Discussionmentioning

confidence: 99%

Sedation anesthesia technique for the insertion of laparoscopic fixated peritoneal dialysis catheter using carbondioxide

Zumrutdal¹

2018

Laparosc Endosc Surg Sci

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“…In addition, CO 2 is rapidly absorbed across the peritoneal membrane and may contribute to significant metabolic acidosis and cardiac arrhythmias [14,15], disturbances that are not well tolerated by high-risk renal failure patients [10]. Alternatively, N 2 O is an inert gas and better tolerated as an insufflation agent [16], because it produces neither peritoneal irritation nor the metabolic effects, offering a plausible explanation for absence of pain and thus enabling laparoscopy with the patient under local anesthesia [9,12]. Combined with the mild conscious sedation which is appropriate to alleviate undue fear and anxiety, the procedure can be tolerated well without GA [10].…”

Section: Discussionmentioning

confidence: 99%

“…One of the major impediments to acceptance of surgical laparoscopy as a means for PD catheter implantation has been the necessity for a general anesthetic [10][11][12]. Laparoscopy is routinely performed with CO 2 abdominal insufflation to create the pneumoperitoneum in the peritoneal cavity.…”

Section: Discussionmentioning

confidence: 99%

Anesthesia Considerations for Insertion of the Peritoneal Dialysis Catheter

Liu¹

2017

J Clin Nephrol Ren Care

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Background: Laparoscopy is an effective method of implantation for Peritoneal Dialysis (PD) catheters. However, in many centers around the world, Peritoneal Dialysis Catheter (PDC) insertions are done using an open surgical method, associated with greater surgical trauma and longer duration of hospitalization. One of the major drawbacks to the acceptance of laparoscopic insertion is the perceived necessity for General Anesthesia (GA) for this procedure. In this study, we have examined methods of anesthesia for laparoscopic insertion of PD catheters at a major North American center.

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Laparoscopic peritoneal dialysis catheter implantation using a Tenckhoff trocar under local anesthesia with nitrous oxide gas insufflation

Cited by 44 publications

References 21 publications

Preperitoneal Tunneling – a Novel Technique in Peritoneal Dialysis Catheter Insertion

Preperitoneal Tunneling – a Novel Technique in Peritoneal Dialysis Catheter Insertion

Sedation anesthesia technique for the insertion of laparoscopic fixated peritoneal dialysis catheter using carbondioxide

Anesthesia Considerations for Insertion of the Peritoneal Dialysis Catheter

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