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01.10.2012 | Case Report | Ausgabe 5/2012

European Surgery 5/2012

Laparoscopic omental folding: a new procedure to prevent omental wraps of continuous peritoneal dialysis catheters

Zeitschrift:
European Surgery > Ausgabe 5/2012
Autoren:
MD Assoc. Prof. M. Kaya, MD M. E. Boleken, MD M. Soran, MD Prof. S. Yucesan
Wichtige Hinweise
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.

Summary

Background

The authors describe a new procedure to prevent omental wrapping in continuous ambulatory peritoneal dialysis.

Case report

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.

Results

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.

Conclusions

Laparoscopic omental folding is feasible in children, but further well-designed prospective studies are needed to evaluate the advantages of our technique.

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