Related Experiment Videos
Placement of a peritoneal dialysis catheter with routine omentectomy--does it prevent obstruction of the catheter?
P Reissman1, S Lyass, E Shiloni
1Department of General Surgery, Hadassah Hebrew University Medical Center, Jerusalem, Israel.
Objective:
To find out if routine omentectomy reduced the incidence of obstruction and other complications of catheters inserted for continuous ambulatory peritoneal dialysis (CAPD).
Design:
Retrospective study.
Setting:
Teaching hospital, Israel.
Subjects:
60 patients with end stage renal failure who needed catheters for CAPD.
Intervention:
Routine omentectomy during insertion of the catheter, usually under local anaesthesia.
Main Outcome Measures:
Short and long term morbidity, and mortality.
Results:
No patient died as a result of the procedure. The catheter obstructed in only one patient (2%) during a mean follow-up period of 28 months (range 2-108), and 90% of the catheters survived one year.
Conclusions:
Routine omentectomy during insertion of a catheter for CAPD under local anaesthesia is safe and the incidence of obstruction is low. Prospective randomised studies are needed before it can be recommended as the procedure of choice.