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Evaluation of the effectiveness of prophylactic omentopexy during laparoscopic insertion of peritoneal dialysis catheter: a case–control clinical trial

  • Nephrology - Original Paper
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Abstract

Introduction

The laparoscopic omentopexy has been described for the prevention of peritoneal dialysis catheter obstruction due to omental wrapping of the catheter. As there are some controversies and limited data regarding the outcomes of prophylactic omentopexy, we designed a study to evaluate the efficacy of prophylactic omentopexy in preventing catheter dysfunction in patients undergoing laparoscopic catheter placement.

Materials and methods

In this randomized clinical trial, patients with end-stage renal disease during 3 months were divided into two groups of peritoneal dialysis catheter implants with and without omentopexy and subsequently evaluated regarding postoperative features.

Results

A total of 43 patients were evaluated, including 22 undergoing prophylactic omentopexies. There was no significant difference among the baseline features of the patients. There was also no significant difference regarding postoperative features, including peritonitis, leakage, reoperation, need for catheter removal, and mortality.

Conclusion

Prophylactic omentopexy did not cause any significant differences in complications. In addition, there was no benefit for decreasing postoperative outflow obstruction due to omental wrapping following peritoneal dialysis catheter insertion.

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Availability of data and materials

All data regarding this case report has been reported in the manuscript. Please contact the corresponding author in case of requiring any further information.

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Acknowledgements

This study was the subject of surgical residency speciality dissertation of Fakhroddin Kiani.

Funding

No financial support was received for this report.

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Authors and Affiliations

  1. Division of Colorectal Surgery, Department of Surgery, Tehran University of Medical Sciences, Tehran, Iran

    Amir Keshvari & Mohammad Reza Keramati

  2. Colorectal Research Center, Tehran University of Medical Sciences, Tehran, Iran

    Amir Keshvari & Mohammad Reza Keramati

  3. Department of Surgery, Tehran University of Medical Sciences, Tehran, Iran

    Seyed Mostafa Meshkati Yazd & Fakhroddin Kiani

  4. Thoracic and Vascular Surgery Research Center, Shiraz University of Medical Science, Shiraz, Iran

    Hooman Kamran & Reza Shahriarirad

  5. Students Research Committee, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran

    Hooman Kamran & Reza Shahriarirad

  6. Nephrology and Renal Transplant Research Center, Urmia University of Medical Science, Urmia, Iran

    Azam Mivefroshan

Authors
  1. Amir Keshvari
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  2. Seyed Mostafa Meshkati Yazd
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  3. Mohammad Reza Keramati
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  4. Hooman Kamran
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  5. Reza Shahriarirad
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  6. Azam Mivefroshan
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  7. Fakhroddin Kiani
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Contributions

AK and MRK designed the study and carried out the therapeutic measures. FK, and SMMY collected the data and revised the manuscript. RS analyzed the data and HK and AM drafted the manuscript. AK and RS revised and proofread the manuscript. All the authors read and approved the final version of the manuscript.

Corresponding author

Correspondence to Fakhroddin Kiani.

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Conflict of interest

Drs. Amir Keshvari, Seyed Mostafa Meshkati Yazd, Mohammad Reza Keramati, Hooman Kamran, Reza Shahriarirad, Azam Miveforoshan, and Fakhroddin Kiani ‬have no conflicts of interest or financial ties to disclose.

Ethical approval and consent to participate

The present study was approved by the Medical Ethics Committee of Tehran University of Medical Sciences. The purpose of this study was completely explained to the patient and was assured that her information will be kept confidential by the researchers. A written consent form was also obtained from the patient.

Consent for publication

Written informed consent was obtained from the patients for publication of this report and any accompanying images. A copy of the written consent is available for review by the Editor of this journal.

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Cite this article

Keshvari, A., Meshkati Yazd, S., Keramati, M.R. et al. Evaluation of the effectiveness of prophylactic omentopexy during laparoscopic insertion of peritoneal dialysis catheter: a case–control clinical trial. Int Urol Nephrol 55, 2083–2089 (2023). https://doi.org/10.1007/s11255-023-03522-3

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  • DOI: https://doi.org/10.1007/s11255-023-03522-3

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