Article Text

Download PDFPDF
Outpatient management of malignant ascites using ultrasound, a trocar, and a Tenckhoff catheter
  1. D. S. Young*,
  2. S. S. Lentz,
  3. R. J. Barrett,
  4. H. D. Homesley and
  5. J. S. Moore*
  1. * Department of Obstetrics and Gynecology,
  2. Section on Gynecologic Oncology, Bowman Gray School of Medicine of Wake Forest University, Winston-Salem, North Carolina 27103, USA

Abstract

The Tenckhoff catheter provides useful access to the peritoneal cavity for chronic peritoneal dialysis and treatment of intraperitoneal malignancy. The usual methods of placement of Tenckhoff catheters include: blind insertion, open surgical implantation and peritoneoscopic guided placement. This is a description of a technique for percutaneous introduction using a trocar. Sonographic guidance is used to assure a safe insertion and proper location. This technique has been used in the office to provide access to the peritoneal cavity to allow palliative management of massive, intractable malignant ascites. The patient or selected caretaker can care for and access the catheter intermittently at home for relief of symptoms.

  • ascites
  • gynecologic oncology
  • Tenckhoff
  • ultrasound.

Statistics from Altmetric.com

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.