Year : 2010 | Volume
: 2 | Issue : 3 | Page : 107--109
Continuous ambulatory peritoneal dialysis catheter placement: Is omentectomy necessary?
Joseph P Kavalakkat, Santosh Kumar, Karthikeyan Aswathaman, Nitin S Kekre
Department of Urology, CMC, Vellore, Tamil Nadu, India
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.
Nitin S Kekre
Department of Urology, CMC, Vellore, Tamil Nadu
|How to cite this article:|
Kavalakkat JP, Kumar S, Aswathaman K, Kekre NS. Continuous ambulatory peritoneal dialysis catheter placement: Is omentectomy necessary?.Urol Ann 2010;2:107-109
|How to cite this URL:|
Kavalakkat JP, Kumar S, Aswathaman K, Kekre NS. Continuous ambulatory peritoneal dialysis catheter placement: Is omentectomy necessary?. Urol Ann [serial online] 2010 [cited 2020 Oct 25 ];2:107-109
Available from: https://www.urologyannals.com/article.asp?issn=0974-7796;year=2010;volume=2;issue=3;spage=107;epage=109;aulast=Kavalakkat;type=0