Tunneled Peritoneal Catheter Placement in Palliation of Malignant Ascites: A Study with Two Different Types of Catheters

Figure 1

Operative technique. (a) Marking the entry site. (b) Accessing the intraperitoneal space with an 18G Chiba needle. (c) Fluoroscopic image showing advancement of the stiff guidewire to the most dependent place in pelvis. (d) Placing the peel-away sheath to the intraperitoneal cavity and determining the site of second incision line. (e) Making the second incision superolateral to the first incision. (f, g) Advancing the tunneling device through the tract with the catheter attached to its backside. (h) Fluoroscopic image showing placement of the catheter to the most dependent part of pelvis.

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