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Case Studies | Gynaecology | India | Volume 12 Issue 2, February 2023 | Rating: 4.4 / 10
Minimally Invasive Surgical Option in a Patient on Peritoneal Dialysis - A Case Report
Veronica Irene Yuel | Sunil Dharmani | Rakesh Rajkumar Chand | Arun Andappan [2]
Abstract: Clinicians often viewabdominal surgery as unsuitable for patients undergoing peritoneal dialysis,despite the lack of clear indicators forperitoneal dialysis failure.Advances in technology have led to more minimally invasive option that are more patient friendly. Peritoneal dialysis allows patients to avoid the demanding nature of haemodialysis and reduce hospital admissions. However, abdominal surgeries may cause a leakage of peritoneal dialysate from the surgical site. Laparoscopic surgeries can help avoid this issue and are therefore recommended for patients on peritoneal dialysis. We present a case of a patient who underwent a total laparoscopic hysterectomy while receiving peritoneal dialysis. Laparoscopic hysterectomy is suggested to be safe and feasible and allows early resumption of dialysis, in patients who are receiving peritoneal dialysis, however, mandates complete peritonealisation.
Keywords: Peritoneal dialysis, hysterectomy, laparoscopy, total laparoscopic hysterectomy, adenomyosis, peritonealisation
Edition: Volume 12 Issue 2, February 2023,
Pages: 599 - 602