PLACEMENT OF A PERITONEAL-DIALYSIS CATHETER WITH ROUTINE OMENTECTOMY - DOES IT PREVENT OBSTRUCTION OF THE CATHETER

Citation
P. Reissman et al., PLACEMENT OF A PERITONEAL-DIALYSIS CATHETER WITH ROUTINE OMENTECTOMY - DOES IT PREVENT OBSTRUCTION OF THE CATHETER, The European journal of surgery, 164(9), 1998, pp. 703-707
Citations number
11
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Surgery
ISSN journal
1102-4151
Volume
164
Issue
9
Year of publication
1998
Pages
703 - 707
Database
ISI
SICI code
1102-4151(1998)164:9<703:POAPCW>2.0.ZU;2-0
Abstract
Objective: To find out if routine omentectomy reduced the incidence of obstruction and other complications of catheters inserted for continu ous ambulatory peritoneal dialysis (CAPD). Design: Retrospective study . Setting: Teaching hospital, Israel. Subjects: 60 patients with end s tage renal failure who needed catheters for CAPD. Intervention: Routin e omentectomy during insertion of the catheter, usually under local an aesthesia. Main outcome measures: Short and long term morbidity, and m ortality. Results: No patient died as a result of the procedure. The c atheter obstructed in only one patient (2%) during a mean follow-up pe riod of 28 months (range 2-108), and 90% of the catheters survived one year. Conclusions: Routine omentectomy during insertion of a catheter for CAPD under local anaesthesia is safe and the incidence of obstruc tion is low. Prospective randomised studies are needed before it can b e recommended as the procedure of choice.