Laparoscopic omental fixation technique versus open surgical placement of peritoneal dialysis catheters

Ogunc G., Tuncer M., Ogunc D., Yardimsever M., Ersoy F.

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, vol.17, no.11, pp.1749-1755, 2003 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 17 Issue: 11
  • Publication Date: 2003
  • Doi Number: 10.1007/s00464-002-8586-3
  • Journal Name: SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.1749-1755
  • Keywords: peritoneal dialysis, continuous ambulatory peritoneal dialysis peritoneal catheter, peritonitis, laparoscopy, hernia, omentopexy, CAPD CATHETER, INSERTION, VIDEOLAPAROSCOPY, IMPLANTATION
  • Akdeniz University Affiliated: Yes

Abstract

Background: Continuous ambulatory peritoneal dialysis (CAPD) is an effective form of treatment for patients with end-stage renal disease. Open insertion of peritoneal dialysis (PD) catheters is the standard surgical technique, but it is associated with a relatively high incidence of catheter outflow obstruction and dialysis leak. Omental wrapping is the most common cause of mechanical problems. The purpose of this study was to determine the efficacy of the laparoscopic omental fixation technique to prevent the obstruction caused by omental wrapping and also to compare this laparoscopic technique with open peritoneal dialysis catheter insertion with respect to postoperative discomfort, complication rates, and catheter survival.