Erschienen in:
01.10.2012 | Case Report
Laparoscopic omental folding: a new procedure to prevent omental wraps of continuous peritoneal dialysis catheters
verfasst von:
Assoc. Prof. M. Kaya, MD, M. E. Boleken, MD, M. Soran, MD, Prof. S. Yucesan, MD
Erschienen in:
European Surgery
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Ausgabe 5/2012
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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.