title: A prospective randomized trial of the Lazarus-Nelson vs. the standard peritoneal dialysis catheter for peritoneal lavage in blunt abdominal trauma.
abstract: One hundred consecutive injured patients with blunt abdominal trauma requiring peritoneal lavage were prospectively randomized to placement of lavage catheters with an open or percutaneous technique. The Lazarus-Nelson catheter, placed by Seldinger wire technique, was compared to a standard dialysis catheter, placed by direct visualization and incision of the peritoneum. Placement of the catheter was consistently faster using the percutaneous method; no difference was noted in time of lavage, volume recovered, or complications. When not contraindicated, the percutaneous technique was widely preferred by study participants.
authors.affiliation: Department of Surgery, University of Vermont College of Medicine, Burlington.
authors.forename: W R
authors.initials: WR
authors.lastname: Wilson
authors.forename: T H
authors.initials: TH
authors.lastname: Schwarcz
authors.forename: D B
authors.initials: DB
authors.lastname: Pilcher
mesh_terms: D000007:Abdominal Injuries / Q000175:diagnosis*; D000328:Adult; D002404:Catheterization / Q000295:instrumentation* / Q000379:methods; D002986:Clinical Trials as Topic; D005260:Female; D006801:Humans; D008297:Male; D010530:Peritoneal Dialysis / Q000295:instrumentation*; D010533:Peritoneal Lavage / Q000295:instrumentation*; D011446:Prospective Studies; D011897:Random Allocation; D013997:Time Factors; D014949:Wounds, Nonpenetrating / Q000175:diagnosis*