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A Journal on Surgery


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Chirurgia 2008 August;21(4):247-9

Copyright © 2008 EDIZIONI MINERVA MEDICA

language: Italian

The long pressurised passage: from surgical technique to videolaparoscopy

Milani R. 1, Milani V. 2

1 Dipartimento di Semeiotica Chirurgica Università di Sassari, Sassari, Italia 2 Ricerc. Iniziative Industriali Orion, Pomezia, Latina, Italia


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The note describes a new videolaparoscopic technique for the insertion of peritoneal catheters for dialytic use. It substantially re-proposes the strategy of the long extraperitoneal pressurised passage which, done surgically, is the most effective insertion method to counter the 3 principal complications occurring in catheter function but which is little used, perhaps because the technique is invasive. The authors have designed a special instrument for the exclusive use of this procedure called preperitoneal space tunneller. They renew their proposal to take advantage of the long pressurised passage which the tunneller makes easy to execute in the course of a videolaparoscopic technique they created and described.

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