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Continuous ambulatory peritoneal dialysis catheter placement: Is omentectomy necessary?
MedLine Citation:
PMID:  20981197     Owner:  NLM     Status:  PubMed-not-MEDLINE    
CONTEXT: There are different methods of continuous ambulatory peritoneal dialysis (CAPD) catheter placement. Open surgical technique is a widely followed method. The complication rate following catheter placement varies and catheter blockage due to omental plugging is one of the main reasons.
AIM: To analyze the need for routine omentectomy during CAPD catheter placement.
MATERIALS AND METHODS: This was a retrospective analysis of 58 CAPD catheter placements performed between July 2002 and June 2007. Tenckhoff double cuffed catheter was used in all. The postoperative complications were analyzed.
RESULTS: There were 44 males and 14 females. The mean age was 51 years ranging from 15 to 76 years. Of these, 40 (69%) patients underwent omentectomy (group A) and 18 (31%) did not (group B). Laparoscopic and open techniques were performed in 5 and 53 patients, respectively. Omentectomy was not performed in 13 patients with open technique and all the five in the laparoscopic group. One patient in group A developed hemoperitoneum which was treated conservatively. None from group A developed catheter blockage, whereas five (27.8%) from group B developed catheter blockage postoperatively. The median time interval between the primary procedure and development of catheter blockage was 45 days (ranged from 14 to 150 days).
CONCLUSIONS: Omentectomy during CAPD catheter placement prevents catheter blockage and secondary interventions.
Joseph P Kavalakkat; Santosh Kumar; Karthikeyan Aswathaman; Nitin S Kekre
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Urology annals     Volume:  2     ISSN:  0974-7834     ISO Abbreviation:  Urol Ann     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-10-28     Completed Date:  2011-07-14     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  101510823     Medline TA:  Urol Ann     Country:  India    
Other Details:
Languages:  eng     Pagination:  107-9     Citation Subset:  -    
Department of Urology, CMC, Vellore, Tamil Nadu, India.
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