Original Article – Clinical
Laparoscopic-Assisted Placement of a Peritoneal Dialysis Catheter With Partial Omentectomy and Omentopexy in Dogs: An Experimental Study
Article first published online: 1 FEB 2013
© Copyright 2013 by The American College of Veterinary Surgeons
Volume 42, Issue 5, pages 579–585, June 2013
How to Cite
Dupré, G. and Čoudek, K. (2013), Laparoscopic-Assisted Placement of a Peritoneal Dialysis Catheter With Partial Omentectomy and Omentopexy in Dogs: An Experimental Study. Veterinary Surgery, 42: 579–585. doi: 10.1111/j.1532-950X.2013.01097.x
- Issue published online: 1 JUL 2013
- Article first published online: 1 FEB 2013
- Manuscript Accepted: 1 AUG 2012
- Manuscript Received: 1 MAR 2012
To describe a technique of laparoscopic-assisted placement of a peritoneal dialysis (PD) catheter with simultaneously performed partial omentectomy and omentopexy.
Pilot experimental study.
Beagle dogs (n = 6).
After placement of 1 sub-umbilical laparoscope portal and 1 instrument portal in the left cranial abdominal quadrant, laparoscopic-assisted partial omentectomy, and omentopexy were performed, and a modified Tenckhoff PD catheter was placed under laparoscopic guidance. A modified dialysis protocol was used twice daily for 4 days. The feasibility of the procedure, surgical duration, operative complications, and dialysis efficacy were evaluated. Postoperative pain and inflammation were graded (0–3).
The procedure was successfully performed in all dogs with a median operating time of 25 minutes. No operative complications occurred. Procedure-related postoperative pain and inflammation were minimal. Eight consecutive PD procedures were successfully performed, and no leakage or obstruction was observed.
Laparoscopic-assisted partial omentectomy and omentopexy can be performed at the same time as PD catheter placement with minimal morbidity.