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Laparoscopic-Assisted Seldinger Technique for Peritoneal Dialysis Catheter Insertion
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Laparoscopic and cystoscopic-assisted suprapubic catheter insertion: A case study and technical note.

Mohamed Tourky1, Ross Knight2, Ramesh Rajagopal3

  • 1Department of Urology, Morriston Hospital, Morriston, Swansea, UK.

Arab Journal of Urology
|November 27, 2015
PubMed
Summary

This study introduces a novel laparoscopic and cystoscopic-assisted technique for suprapubic catheter insertion. This method safely manages challenging cases with high anesthetic risk and prior abdominal surgery, preventing complications.

Keywords:
Bowel adhesionsLong-term catheterisationSuprapubic catheter

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Area of Science:

  • Urology
  • Minimally Invasive Surgery
  • Surgical Techniques

Background:

  • Suprapubic urinary catheterisation is often challenging in patients with a history of lower abdominal surgery due to adhesions.
  • High anesthetic risk further complicates urinary catheter management in these patients.
  • Conventional methods may carry significant risks of morbidity and mortality.

Purpose of the Study:

  • To describe a novel technique for suprapubic urinary catheterisation.
  • To evaluate the safety and efficacy of laparoscopic and cystoscopic-assisted insertion.
  • To provide an alternative for patients with high anesthetic risk and previous abdominal surgery.

Main Methods:

  • A 33-year-old woman with a history of lower abdominal surgery and adhesions underwent the procedure.
  • Laparoscopic guidance was employed for visualization and safe instrument manipulation.
  • Cystoscopic vision ensured accurate catheter placement and prevented injury.

Main Results:

  • Successful insertion of the suprapubic catheter was achieved in this complex patient.
  • Adhesions were carefully released under laparoscopic visualization.
  • The procedure was completed without any reported bowel injury.

Conclusions:

  • Laparoscopic and cystoscopic-assisted suprapubic catheter insertion is a viable and novel technique.
  • This approach can significantly reduce morbidity and mortality in selected high-risk patients.
  • It offers a safer alternative for urinary catheterisation in patients with challenging abdominal adhesions.