title: Comparison of percutaneous versus open surgical techniques for placement of peritoneal dialysis catheter in children: A randomized clinical trial.
abstract: Background This research compares the outcomes of percutaneous technique and open surgical peritoneal dialysis catheter placement in children.
  
  
  METHODS
  In this randomized controlled trial, between 2010 and 2011,a total of 35 pediatric uremic patients were enrolled and randomized into two study groups. Follow up data included duration of operation (minute), duration of hospitalization (days) and onset time of peritoneal dialysis. Complications were considered as mechanical and infectious.
  
  
  RESULTS
  The percutaneous procedure was significantly faster than the open surgical technique (9.5 ± 1.81 versus 27.00 ± 2.61 minutes, p= 0.0001). The onset of dialysis was earlier in percutaneous insertion. There were no cases of hollow viscous perforation, early peritonitis and exit site infection at the 3rd, 7th, and 14th day in both groups. Complications in open surgical group were include wrapped omentum in 4 (23.5%), catheter malposition in 3 (17.6%),delayed exit site infection in 2 (11.7%), Incisional hernia in 1 (5.8%)and hemoperitoneum in 2 (11.7%)cases. Complications in percutaneous insertion group were include catheter malposition and wrapped omentum each in one case.
  
  
  CONCLUSIONS
  Percutaneous method with secure insertion of the catheter reduced the rate of some complications. Although they were not statistically significant, this technique reduces the time of hospitalization and operation without need to general anesthesia. The onset of dialysis was earlier significantly. Trial registry code: IRCT2013091514670N1.
authors.affiliation: 1. Assistant Professor of Pediatric Nephrology, Alzahra Hospital, Isfahan University of Medical Sciences, Isfahan, Iran. merrikhi@med.mui.ac.ir.
authors.forename: Alireza
authors.initials: A
authors.lastname: Merrikhi
authors.affiliation: 2. Resident of Pediatric Surgery, Bahrami Children Hospital, Tehran University of Medical Sciences, Tehran, Iran. hojatollah_raji@yahoo.com.
authors.forename: Hojatollah
authors.initials: H
authors.lastname: Raji Asadabadi
authors.affiliation: 3. Associate Professor of Vascular Surgery, Alzahra Hospital, Isfahan University of Medical Sciences, Isfahan, Iran. beigi@med.mui.ac.ir.
authors.forename: Ali Akbar
authors.initials: AA
authors.lastname: Beigi
authors.affiliation: 4. Legal Medicine Research Center, Legal Medicine Organization,Tehran, Iran. marashi_m@razi.tums.ac.ir.
authors.forename: Sayed Mahdi
authors.initials: SM
authors.lastname: Marashi
authors.affiliation: 5. Assistant Professor of Vascular Surgery, Alzahra Hospital, Isfahan University of Medical Sciences, Isfahan, Iran. ghaherihafez@med.mui.ac.ir.
authors.forename: Hafez
authors.initials: H
authors.lastname: Ghaheri
authors.affiliation: 6. PhD Student in Educational Psychology, Department of Psychology, Faculty of Psychology, Shahid Beheshti University, Tehran, Iran. nasiry_zohreh@yahoo.com.
authors.forename: Zohre
authors.initials: Z
authors.lastname: Nasiri Zarch
keywords: Catheters; Complications; Peritoneal dialysis; Surgical Procedures