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ORIGINAL ARTICLE
Year : 2010  |  Volume : 2  |  Issue : 3  |  Page : 107-109

Continuous ambulatory peritoneal dialysis catheter placement: Is omentectomy necessary?


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

Correspondence Address:
Nitin S Kekre
Department of Urology, CMC, Vellore, Tamil Nadu
India
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DOI: 10.4103/0974-7796.68858

PMID: 20981197

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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.


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