Continuous ambulatory peritoneal dialysis catheter placement: Is omentectomy necessary?
<b>Context:</b> 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 m...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2010-01-01
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| Series: | Urology Annals |
| Subjects: | |
| Online Access: | http://www.urologyannals.com/article.asp?issn=0974-7796;year=2010;volume=2;issue=3;spage=107;epage=109;aulast=Kavalakkat |
| _version_ | 1819205679024439296 |
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| author | Kavalakkat Joseph Kumar Santosh Aswathaman Karthikeyan Kekre Nitin |
| author_facet | Kavalakkat Joseph Kumar Santosh Aswathaman Karthikeyan Kekre Nitin |
| author_sort | Kavalakkat Joseph |
| collection | DOAJ |
| description | <b>Context:</b> 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. <b>Aim:</b> To analyze the need for routine omentectomy during CAPD catheter placement. <b>Materials and Methods:</b> 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. <b>Results:</b> 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). <b>Conclusions:</b> Omentectomy during CAPD catheter placement prevents catheter blockage and secondary interventions. |
| first_indexed | 2024-12-23T04:55:32Z |
| format | Article |
| id | doaj.art-54c961e795f346748263c8fe2453bf9e |
| institution | Directory Open Access Journal |
| issn | 0974-7796 0974-7834 |
| language | English |
| last_indexed | 2024-12-23T04:55:32Z |
| publishDate | 2010-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Urology Annals |
| spelling | doaj.art-54c961e795f346748263c8fe2453bf9e2022-12-21T17:59:21ZengWolters Kluwer Medknow PublicationsUrology Annals0974-77960974-78342010-01-0123107109Continuous ambulatory peritoneal dialysis catheter placement: Is omentectomy necessary?Kavalakkat JosephKumar SantoshAswathaman KarthikeyanKekre Nitin<b>Context:</b> 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. <b>Aim:</b> To analyze the need for routine omentectomy during CAPD catheter placement. <b>Materials and Methods:</b> 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. <b>Results:</b> 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). <b>Conclusions:</b> Omentectomy during CAPD catheter placement prevents catheter blockage and secondary interventions.http://www.urologyannals.com/article.asp?issn=0974-7796;year=2010;volume=2;issue=3;spage=107;epage=109;aulast=KavalakkatChronic renal failuredialysisomentectomy |
| spellingShingle | Kavalakkat Joseph Kumar Santosh Aswathaman Karthikeyan Kekre Nitin Continuous ambulatory peritoneal dialysis catheter placement: Is omentectomy necessary? Urology Annals Chronic renal failure dialysis omentectomy |
| title | Continuous ambulatory peritoneal dialysis catheter placement: Is omentectomy necessary? |
| title_full | Continuous ambulatory peritoneal dialysis catheter placement: Is omentectomy necessary? |
| title_fullStr | Continuous ambulatory peritoneal dialysis catheter placement: Is omentectomy necessary? |
| title_full_unstemmed | Continuous ambulatory peritoneal dialysis catheter placement: Is omentectomy necessary? |
| title_short | Continuous ambulatory peritoneal dialysis catheter placement: Is omentectomy necessary? |
| title_sort | continuous ambulatory peritoneal dialysis catheter placement is omentectomy necessary |
| topic | Chronic renal failure dialysis omentectomy |
| url | http://www.urologyannals.com/article.asp?issn=0974-7796;year=2010;volume=2;issue=3;spage=107;epage=109;aulast=Kavalakkat |
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