[Laparoscopic correction of a displaced peritoneal dialysis catheter]

Peritoneal dialysis may be compromised by malfunction of the catheter due to catheter migration or omental adhesions. A prospective registration and analysis of the results of laparoscopic correction were performed.

In a period of three years, laparoscopic peritoneal dialysis catheter correction was performed in 10 patients.

No peri- or postoperative complications were seen. After a median follow-up period of 14 months, four patients had functioning catheters (40%). In these four patients the catheters were anchored with a suture. In four other patients the catheter had been removed because of re-displacement due to lack of suturing at the correction, and in two it had been removed due to peritonitis.

Laparoscopic management is a valid means of correction of a malfunctioning dialysis catheter if the catheter is anchored with a suture.