Laparoscopic continuous ambulatory peritoneal dialysis (CAPD) catheter insertion; a modified technique in low resource settings and early outcome

Chronic kidney disease [CKD] has become a major health issue worldwide. In Sri Lanka, the prevalence of CKD has increased rapidly in the recent past. The definite treatment is kidney transplantation. However, due to a variety of reasons, transplantation is either delayed or not possible. Dialysis is the management modality for those patients. Peritoneal dialysis is traditionally done via temporary lines for in-ward patients in Sri Lankan hospitals. There is an increasing trend to use CAPD catheters in major renal centres. CAPD lines are inserted by several techniques. In most centres in Sri Lanka CAPD is inserted by open surgery. Laparoscopic insertion is relatively new to local patients. In this article, a novel modified technique is described, and the early outcome is analyzed.