2005 Volume 38 Issue 12 Pages 1781-1786
When we insert peritoneal dialysis catheters, we have performed PWAT (peritoneal wall anchor technique) under laparoscopic guidance to prevent dislocation and dysfunction of the catheters. We have also performed PWAT to reposition the dislocated catheters. We need laparoscopic instruments (ports, scopes, forceps and so on) and several peritoneal access ports for these procedures. However, some criticisms have noted that this procedure is expensive and causes an excessive abdominal scar.
We devised a novel technique to resolve these issues by a minimally invasive procedure under video-scopic guidance without port. We can use grasping forceps through the working channel of the scope to place catheters in the abdomen.