Placement of a peritoneal dialysis catheter with routine omentectomy--does it prevent obstruction of the catheter?
OBJECTIVE
To find out if routine omentectomy reduced the incidence of obstruction and other complications of catheters inserted for continuous ambulatory peritoneal dialysis (CAPD).


METHODS
Retrospective study.


METHODS
Teaching hospital, Israel.


METHODS
60 patients with end stage renal failure who needed catheters for CAPD.


METHODS
Routine omentectomy during insertion of the catheter, usually under local anaesthesia.


METHODS
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.
Reissman
P
P
Department of General Surgery, Hadassah Hebrew University Medical Center, Jerusalem, Israel.
Lyass
S
S
Shiloni
E
E
Rivkind
A
A
Berlatzky
Y
Y
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002404:Catheterization / Q000009:adverse effects* / Q000379:methods*; D002648:Child; D002675:Child, Preschool; D004868:Equipment Failure; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy; D008297:Male; D008875:Middle Aged; D009852:Omentum / Q000601:surgery*; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000379:methods* / Q000401:mortality; D012189:Retrospective Studies