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A New Intraoperative Method for Detecting Fistulas in Patients With Peritoneal Dialysis-Associated Pleuroperitoneal
Yu Suyama1, Tomonari Kinoshita1, Ai Otani1
1Division of Thoracic Surgery, Department of Surgery, The Jikei University School of Medicine, Tokyo, Japan.
Identifying small pleuroperitoneal communications during surgery can be challenging. This case report details using dual-dye visualization for accurate fistula closure in peritoneal dialysis patients, preventing recurrence.
Area of Science:
- Nephrology
- Thoracic Surgery
- Medical Imaging
Background:
- Pleuroperitoneal communication is a complication of peritoneal dialysis, often caused by increased intraabdominal pressure.
- Surgical closure of these fistulas has a high recurrence rate due to intraoperative identification difficulties.
- Recurrent cases may necessitate a transition to hemodialysis.
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