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Urol Ann. 2010 Sep;2(3):107-9. doi: 10.4103/0974-7796.68858.

Continuous ambulatory peritoneal dialysis catheter placement: Is omentectomy necessary?

Author information

1
Department of Urology, CMC, Vellore, Tamil Nadu, India.

Abstract

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.

KEYWORDS:

Chronic renal failure; dialysis; omentectomy

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