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Updated: Jun 1, 2026
06:23
Laparoscopic-Assisted Seldinger Technique for Peritoneal Dialysis Catheter Insertion
Published on: May 23, 2025
A technique to address peritoneal dialysis catheter malfunction
Chee-Chee H Stucky1, Mark C Mason, James A Madura
1Department of General Surgery, Mayo Clinic Arizona, Phoenix, Arizona 85054, USA. stucky.cheechee@mayo.edu
Summary
A novel technique using a testicular prosthesis successfully anchored a dislodged peritoneal dialysis (PD) catheter. This method offers a viable solution for PD catheter malposition when specialized weighted catheters are unavailable.
Area of Science:
- Nephrology
- Surgical Innovation
- Medical Device Engineering
Background:
- A 66-year-old male with ischemic myopathy and renal failure required combined heart and kidney transplantation.
- Post-transplant kidney failure necessitated the initiation of peritoneal dialysis (PD).
Observation:
- The patient experienced recurrent PD catheter malposition, migration, and obstruction within the omentum.
- Laparoscopic interventions were required for catheter repositioning and declogging.
- A testicular prosthesis was surgically attached to the PD catheter for pelvic anchoring.
Findings:
- The testicular prosthesis effectively anchored the PD catheter in the correct pelvic position.
- The anchored catheter demonstrated sustained appropriate function for at least six months post-procedure.
- The patient reported no discomfort or complications related to the anchored catheter.
Implications:
- Testicular prosthesis anchoring presents a practical alternative for managing malpositioned PD catheters, especially when weighted devices are inaccessible.
- This technique may improve PD catheter longevity and patient quality of life by resolving mechanical complications.
- Further research could explore the long-term efficacy and broader applicability of this innovative anchoring method.
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