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Laparoscopic-Assisted Seldinger Technique for Peritoneal Dialysis Catheter Insertion

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Safe percutaneous suprapubic catheterisation.

N K Goyal¹, A Goel, S N Sankhwar

¹CSM Medical University, India.

Annals of the Royal College of Surgeons of England

|November 8, 2012

Summary

This summary is machine-generated.

This study details a percutaneous suprapubic catheter technique using a reusable trocar for safe and effective emergency bladder drainage. Careful steps minimize complications like hematuria and catheter misplacement.

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Area of Science:

Urology
Surgical Procedures

Background:

Percutaneous suprapubic catheter insertion is a common urological procedure.
Potential complications include hematuria and catheter misplacement.

Purpose of the Study:

To describe a technique for percutaneous suprapubic catheter insertion.
To highlight steps that prevent common complications.

Main Methods:

Procedure performed using a reusable stainless steel trocar under local anesthesia.
Performed at the bedside in patients with a palpable, full bladder.
Exclusion criteria included prior abdominal surgery, inadequate bladder distension, or pelvic trauma.

Main Results:

Successfully performed in 72 men with urinary retention.
Average procedure time was under five minutes.
No complications were reported in any patient.

Conclusions:

Trocar suprapubic catheter insertion is a safe and effective bedside procedure.
Suitable for emergency bladder drainage by resident surgeons.
Careful technique can avoid common complications.