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Updated: Apr 16, 2026
Laparoscopic-Assisted Seldinger Technique for Peritoneal Dialysis Catheter Insertion
Published on: May 23, 2025
Revision techniques for failed PD catheters: outcome in a University Hospital
Arnoud Gerardus Peppelenbosch1, Jorinde van Laanen, Tom Cornelis
11 Department of Vascular Surgery, Maastricht University Medical Center, Maastricht - The Netherlands.
Purpose:
A disfunctioning peritoneal dialysis (PD) catheter has been reported in upto 35%. We report different salvage techniques used and its outcome.
Methods:
We retrospectively reviewed our database on PD patients from 2009 to 2014. Operational data and data on PD catheter function were checked.
Results:
From 2009 to 2014, we operated on 32 patients. Malfunction of their PD catheter was found in 23 patients and hernias in nine patients. Different laparoscopic techniques were used, including reposition of the catheter, fixation of the catheter, removal of adhesions and omentectomy. Of these 23 patients, 18 (78%) had a normal functioning catheter after the operation. Nine patients of the total of 32 patients had a correction of their hernia. In all cases, a non-absorbable mesh was used. Of those nine patients with a hernia, eight (89%) had a normal functioning catheter after the procedure.
Conclusions:
The salvage of the catheter by means of a laparoscopic procedure or correction of a hernia is worthwhile and can save up to 81% of the catheters.
Insights
Peritoneal dialysis (PD) catheter malfunction can be addressed with laparoscopic salvage techniques. These methods successfully restored function in up to 81% of malfunctioning PD catheters, improving patient outcomes.
Area of Science:
- Nephrology
- Surgical Technology
- Gastroenterology
Background:
- Peritoneal dialysis (PD) catheter dysfunction affects up to 35% of patients.
- Catheter malfunction and hernias are common complications in PD patients.
- Effective salvage techniques are crucial for maintaining PD therapy.
Purpose of the Study:
- To evaluate the efficacy of different laparoscopic salvage techniques for malfunctioning PD catheters.
- To assess the outcomes of hernia correction in PD patients.
- To determine the overall success rate of PD catheter salvage.
Main Methods:
- Retrospective review of PD patient data from 2009 to 2014.
- Analysis of operational data and PD catheter function.
- Application of laparoscopic techniques including repositioning, fixation, adhesiolysis, and omentectomy.
- Hernia repair using non-absorbable mesh.
Main Results:
- 32 patients underwent procedures between 2009-2014.
- 23 patients experienced PD catheter malfunction; 18 (78%) had successful salvage.
- 9 patients underwent hernia repair; 8 (89%) had successful outcomes.
- Overall, up to 81% of malfunctioning catheters were salvaged.
Conclusions:
- Laparoscopic procedures are effective for salvaging malfunctioning PD catheters.
- Hernia correction in PD patients also demonstrates high success rates.
- Surgical intervention offers a viable solution to restore PD catheter function and improve patient management.
