Related Experiment Video
Updated: May 19, 2026

Laparoscopic-Assisted Seldinger Technique for Peritoneal Dialysis Catheter Insertion
Published on: May 23, 2025
Minilaparotomy salvage of malfunctioning catheters in peritoneal dialysis
Jian-Ri Li1, Chi-Hung Cheng, Kun-Yuan Chiu
1Division of Urology, Department of Surgery, Taichung Veterans General Hospital, Taichung, Taiwan.
Background:
Catheter malfunction is a common and significant complication during peritoneal dialysis (PD). We developed a minilaparotomy procedure to rescue malfunctioning catheters and to prevent recurrence of malfunction.
Methods:
From 2006 to 2011, 11 patients receiving PD had a malfunctioning catheter. In all patients, a 2-cm incision, 5 cm caudally to the previous peritoneal entry site was used to correct the malfunctioning catheter, with concomitant fixation of the catheter to the peritoneum.
Results:
Catheter tip migration occurred in 7 patients, omental wrapping in 3, and blood clot obstruction in 1. The mean onset time to catheter malfunction was 197.5 days (range: 4 - 1270 days), and the mean operating time was 41 minutes (range: 35 - 56 minutes). There was no recurrence of catheter malfunction and no surgery-related peritonitis.
Conclusions:
Our minilaparotomy procedure is safe and feasible for the salvage of malfunctioning PD catheters.
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