This study has been presented at the 25th Congress of Turkish Pediatric Surgeons, October 22–26, 2007 Çeşme-Turkey, on a video presentation section, and at the 12th Congress of the International Society for Peritoneal Dialysis, June 21–24, 2008 Istanbul, Turkey.
The authors describe a new procedure to prevent omental wrapping in continuous ambulatory peritoneal dialysis.
Four boys with end-stage renal diseases underwent laparoscopic omental folding with intracorporeal suturing and a double-cuffed catheter was pulled through into the abdominal cavity using a trocar site and positioned. Peritoneal dialysis was initiated immediately after surgery.
No intraoperative complications occurred. All catheters functioned well postoperatively. After a median follow-up period of 48 months, the results revealed no catheter malfunction or any abdominal complication.
Laparoscopic omental folding is feasible in children, but further well-designed prospective studies are needed to evaluate the advantages of our technique.