Peritoneal dialysis catheters in pediatric patients: 10 years of experience in a single centre
Peritoneal Dialysis (PD) is one of the numerous options for chronic dialysis and in many cases when access for acute dialysis is required early in a hospital course, at any age. PD catheter can be inserted with an open or laparoscopic approach. The complication rate after catheter insertion is still...
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| Format: | Article |
| Language: | English |
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PAGEPress Publications
2020-10-01
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| Series: | La Pediatria Medica e Chirurgica |
| Subjects: | |
| Online Access: | http://pediatrmedchir.org/index.php/pmc/article/view/221 |
| _version_ | 1811251765727723520 |
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| author | Mario Lima Niel Di Salvo Giovanni Marchi Vincenzo Davide Catania Michele Libri Tommaso Gargano |
| author_facet | Mario Lima Niel Di Salvo Giovanni Marchi Vincenzo Davide Catania Michele Libri Tommaso Gargano |
| author_sort | Mario Lima |
| collection | DOAJ |
| description | Peritoneal Dialysis (PD) is one of the numerous options for chronic dialysis and in many cases when access for acute dialysis is required early in a hospital course, at any age. PD catheter can be inserted with an open or laparoscopic approach. The complication rate after catheter insertion is still high, as reported in published literature. We present the experience matured at our Centre in the last 10 years on implantation of peritoneal dialysis catheters in children, emphasising surgical complications. We conducted a retrospective study on patients who underwent PD at our Centre in a range period of 10 years. We analysed patients ’demographic data, past and present medical, perioperative and post-operative data, permanence of the catheter, duration of dialysis, the gap between placement and use, outcomes and complications. We compared the data, dividing patients in 2 groups: patients operated with a traditional open technique and patients operated laparoscopically. We retrospectively reviewed 29 children with an average age of 3years and 6 months. Mean age was 42 months (1 month; 8 years) for the VLS group, 18 months (11 days, 4 years) for the OT group. Mean operative time was 106 min for the VLS group; 44 min for the OT group. The Catheter permanence period was 17 days (12h-64 days). Duration of dialysis was between 48 hours and 23 days (average 8 days). In the total population, we registered 8 complications (5 minor, 3 major), the overall complication rate being 33 % (minor complication rate 21%, major complication rate 12,5 %). 6 complications occurred in patients operated laparoscopically (6/14 = 36 %); 2 complications in the OT group (2/10 = 20 %). The complication rate after PD catheter insertion is still high. Advantages and disadvantages of the open and laparoscopic approach must be known. Both minor and major complications, such as bowel perforations and occlusions, must be understood and differentiated. |
| first_indexed | 2024-04-12T16:25:13Z |
| format | Article |
| id | doaj.art-feb6a833a07245cfa92eeeed3f90af9c |
| institution | Directory Open Access Journal |
| issn | 0391-5387 2420-7748 |
| language | English |
| last_indexed | 2024-04-12T16:25:13Z |
| publishDate | 2020-10-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | La Pediatria Medica e Chirurgica |
| spelling | doaj.art-feb6a833a07245cfa92eeeed3f90af9c2022-12-22T03:25:26ZengPAGEPress PublicationsLa Pediatria Medica e Chirurgica0391-53872420-77482020-10-0142110.4081/pmc.2020.221Peritoneal dialysis catheters in pediatric patients: 10 years of experience in a single centreMario Lima0Niel Di Salvo1Giovanni Marchi2Vincenzo Davide Catania3Michele Libri4Tommaso Gargano5Department of Pediatric Surgery, Sant’Orsola University-Hospital, University of BolognaDepartment of Pediatric Surgery, Sant’Orsola University-Hospital, University of BolognaDepartment of Pediatric Surgery, Sant’Orsola University-Hospital, University of BolognaDepartment of Pediatric Surgery, Sant’Orsola University-Hospital, University of BolognaDepartment of Pediatric Surgery, Sant’Orsola University-Hospital, University of BolognaDepartment of Pediatric Surgery, Sant’Orsola University-Hospital, University of BolognaPeritoneal Dialysis (PD) is one of the numerous options for chronic dialysis and in many cases when access for acute dialysis is required early in a hospital course, at any age. PD catheter can be inserted with an open or laparoscopic approach. The complication rate after catheter insertion is still high, as reported in published literature. We present the experience matured at our Centre in the last 10 years on implantation of peritoneal dialysis catheters in children, emphasising surgical complications. We conducted a retrospective study on patients who underwent PD at our Centre in a range period of 10 years. We analysed patients ’demographic data, past and present medical, perioperative and post-operative data, permanence of the catheter, duration of dialysis, the gap between placement and use, outcomes and complications. We compared the data, dividing patients in 2 groups: patients operated with a traditional open technique and patients operated laparoscopically. We retrospectively reviewed 29 children with an average age of 3years and 6 months. Mean age was 42 months (1 month; 8 years) for the VLS group, 18 months (11 days, 4 years) for the OT group. Mean operative time was 106 min for the VLS group; 44 min for the OT group. The Catheter permanence period was 17 days (12h-64 days). Duration of dialysis was between 48 hours and 23 days (average 8 days). In the total population, we registered 8 complications (5 minor, 3 major), the overall complication rate being 33 % (minor complication rate 21%, major complication rate 12,5 %). 6 complications occurred in patients operated laparoscopically (6/14 = 36 %); 2 complications in the OT group (2/10 = 20 %). The complication rate after PD catheter insertion is still high. Advantages and disadvantages of the open and laparoscopic approach must be known. Both minor and major complications, such as bowel perforations and occlusions, must be understood and differentiated.http://pediatrmedchir.org/index.php/pmc/article/view/221Peritoneal dialysis cathetersPediatric renal replacement therapyTenchkoffPeritoneal dialysisComplications during peritoneal dialysis |
| spellingShingle | Mario Lima Niel Di Salvo Giovanni Marchi Vincenzo Davide Catania Michele Libri Tommaso Gargano Peritoneal dialysis catheters in pediatric patients: 10 years of experience in a single centre La Pediatria Medica e Chirurgica Peritoneal dialysis catheters Pediatric renal replacement therapy Tenchkoff Peritoneal dialysis Complications during peritoneal dialysis |
| title | Peritoneal dialysis catheters in pediatric patients: 10 years of experience in a single centre |
| title_full | Peritoneal dialysis catheters in pediatric patients: 10 years of experience in a single centre |
| title_fullStr | Peritoneal dialysis catheters in pediatric patients: 10 years of experience in a single centre |
| title_full_unstemmed | Peritoneal dialysis catheters in pediatric patients: 10 years of experience in a single centre |
| title_short | Peritoneal dialysis catheters in pediatric patients: 10 years of experience in a single centre |
| title_sort | peritoneal dialysis catheters in pediatric patients 10 years of experience in a single centre |
| topic | Peritoneal dialysis catheters Pediatric renal replacement therapy Tenchkoff Peritoneal dialysis Complications during peritoneal dialysis |
| url | http://pediatrmedchir.org/index.php/pmc/article/view/221 |
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