Prophylactic laparoscopic omentopexy: a new technique for peritoneal dialysis catheter placement

Background: Prophylactic laparoscopic omentopexy is a safe technique to prevent catheter obstruction during peritoneal dialysis (PD). Here we described a technique through which the omentopexy was accomplished by Hem-o-loks before PD catheter insertion. Methods: The procedures of omentopexy were des...

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Detalles Bibliográficos
Autores principales: Cao, Wei, Tu, Chuanquan, Jia, Tao, Liu, Congjiang, Zhang, Liyuan, Zhao, Baiqiao, Liu, Jianhua, Zhang, Lei
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Taylor & Francis 2019
Materias:
Clinical Study
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6442096/
https://www.ncbi.nlm.nih.gov/pubmed/30909767
http://dx.doi.org/10.1080/0886022X.2019.1583580
Descripción
Sumario:Background: Prophylactic laparoscopic omentopexy is a safe technique to prevent catheter obstruction during peritoneal dialysis (PD). Here we described a technique through which the omentopexy was accomplished by Hem-o-loks before PD catheter insertion. Methods: The procedures of omentopexy were described. To evaluate the efficiency of this surgical method, a retrospective review of PD catheter insertion cases and their follow-ups were performed, covering 10 consecutive patients with end-stage renal disease. Results: All patients showed no intraoperative events. No catheter flow obstruction, migration, exit-site infection appeared during the follow-up. Conclusion: Laparoscopic PD catheter insertion using omentopexy can decrease catheter obstruction and migration.

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