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Laparoscopic‐Assisted Placement of a Peritoneal Dialysis Catheter With Partial Omentectomy and Omentopexy in Dogs: An Experimental Study
Author(s) -
Dupré Gilles,
Čoudek Karel
Publication year - 2013
Publication title -
veterinary surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.652
H-Index - 79
eISSN - 1532-950X
pISSN - 0161-3499
DOI - 10.1111/j.1532-950x.2013.01097.x
Subject(s) - medicine , omentectomy , surgery , catheter , peritoneal dialysis , laparoscopy , hysterectomy
Abstract Objective To describe a technique of laparoscopic‐assisted placement of a peritoneal dialysis (PD) catheter with simultaneously performed partial omentectomy and omentopexy. Study Design Pilot experimental study. Animals Beagle dogs (n = 6). Methods 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). Results 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. Conclusions Laparoscopic‐assisted partial omentectomy and omentopexy can be performed at the same time as PD catheter placement with minimal morbidity.