Laparoscopic Extracorporeal Clot Extrusion Under Local Anesthesia for Removal of Intraluminal Fibrin Clot

The success of peritoneal dialysis depends on the presence of functional long-term catheter access to the peritoneal cavity. Mechanical problems of peritoneal dialysis catheter are the second most common cause of depriving patients from peritoneal dialysis, next to infectious problems.1 Intraluminal fibrin clot is one type of mechanical problems that mostly treated conservatively by nonsurgical managements like forced flushing of the catheter, pushand suck maneuver,2 infusion accelerator,3 intraperitoneal administration of urokinase4 or streptokinase,5, 6 instillation of tissue plasminogen activator7 manipulation by guide-wire8 or endoscopy brush9,10 or fogarty catheter.11 Failure to push out the clot by the above mentioned methods call for surgical intervention.