Skip to main content
Log in

Laparoscopic salvage of Tenckhoff catheters

  • Case Reports
  • Published:
Surgical Endoscopy Aims and scope Submit manuscript


Laparoscopic abdominal surgery has opened many previously unexploited diagnostic and therapeutic options. At our institution, we have used laparoscopic techniques in several patients to successfully salvage dysfunctional Tenckhoff catheters. Peritoneal dialysis has gained widespread approval as an acceptable alternative to hemodialysis. Unfortunately, following surgical placement of the catheter, mechanical complications are all too common and usually result in unnecessary removal or replacement. To illustrate the usefulness of laparoscopy in preventing this unnecessary patient morbidity, we present a case study of an easily correctable cause of Tenckhoff catheter outflow obstruction that would have avoided detection under normal circumstances.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others


  1. Brandt CP, Franceschi D (1994) Laparoscopic placement of peritoneal dialysis catheters in patients who have undergone prior abdominal operations. J Am Coll Surg 178: 515–516

    Google Scholar 

  2. Bullmaster JR, Miller SF, Finley RK, Jones LM (1985) Surgical aspects of the Tenckhoff peritoneal dialysis catheter. A 7 year experience. Am J Surg 149: 339–342

    Google Scholar 

  3. Fleisher AG, Kimmelstiel FM, Lattes CG, Miller RE (1985) Surgical complications of peritoneal dialysis catheters. Am J Surg 149:726–729

    Google Scholar 

  4. Kimmelstiel FM, Miller RE, Molinelli BM, Lorch JA (1993) Laparoscopic management of peritoneal dialysis catheters. Surg Gynecol Obstet 176: 565–570

    Google Scholar 

  5. Kittur DS, Gazaway PM, Abidin MR (1991) Laparoscopic repositioning of malfunctioning peritoneal dialysis catheters. Surg Laparos Endosc 1: 179–182

    Google Scholar 

  6. McIntosh G, Hurst PA, Young AE (1985) The ‘Omental Hitch’ for the prevention of obstruction to peritoneal dialysis catheters. Br J Surg 72: 880

    Google Scholar 

  7. Perlmutt LM, Braun SD, Cohan RH, Dunnick NR (1987) Extraperitoneal placement of Tenckhoff catheters: A cause of immediate malfunction. Am J Roentgenol 148: 1211–1212

    Google Scholar 

  8. Robison RJ, Leapman SB, Wetherington GM (1984) Surgical considerations of continuous ambulatory peritoneal dialysis. Surgery 96: 723–730

    Google Scholar 

  9. Spence PA, Mathews RE, Khanna R, Oreopoulos DG (1985) Improved results with a paramedian technique for the insertion of peritoneal dialysis catheters. Surg Gynecol Obstet 161: 585–587

    Google Scholar 

  10. Swartz RD (1985) Chronic peritoneal dialysis: mechanical and infectious complications. Nephron 40: 29–37

    Google Scholar 

  11. Tenckhoff H, Schechter H (1968) A bacteriologically safe peritoneal access device. Trans Am Soc Artif Intern Organs 14: 181–186

    Google Scholar 

  12. United States Renal Data System. Annual Data Report 1991. United States Department of Health and Human Services. Bethesda, MD: National Institutes of Health

Download references

Author information

Authors and Affiliations


Rights and permissions

Reprints and permissions

About this article

Cite this article

Owens, L.V., Brader, A.H. Laparoscopic salvage of Tenckhoff catheters. Surg Endosc 9, 517–518 (1995).

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI:

Key words