Peritoneal dialysis: Laparoscopic-assisted catheter insertion in CAPD

general and visceral surgery

readingtime 12:43 min.

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Anatomy Perioperative management Technique Complications Evidence Total Video

Content

Infraumbilical access
Exposure of the umbilical orifice
Initiation of pneumoperitoneum and inspection of the abdominal cavity
Threading the catheter
Pararectal access at the level of the umbilicus
Catheter insertion
Infraumbilical suture of the peritoneum/fascia and catheter trial run
Layered wound closure and refixation of the umbilicus

Authors

Dr. med. Christoph Weber

Dr. med. Christoph Weber

Klinikum Straubing

Infraumbilical access

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Infraumbilical skin incision, transection of the subcutaneous tissue and exposure of the fascia

Exposure of the umbilical orifice

Whenever present, use the umbilical orifice for trocar insertion (as demonstrated in this video cli

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general and visceral surgery

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After activation, you can expect the following content:

Infraumbilical access
Exposure of the umbilical orifice
Initiation of pneumoperitoneum and inspection of the abdominal cavity
Threading the catheter
Pararectal access at the level of the umbilicus
Catheter insertion
Infraumbilical suture of the peritoneum/fascia and catheter trial run
Layered wound closure and refixation of the umbilicus