Summary
Background
The authors describe a new procedure to prevent omental wrapping in continuous ambulatory peritoneal dialysis.
Case report
Four boys with end-stage renal diseases underwent laparoscopic omental folding with intracorporeal suturing and a double-cuffed catheter was pulled through into the abdominal cavity using a trocar site and positioned. Peritoneal dialysis was initiated immediately after surgery.
Results
No intraoperative complications occurred. All catheters functioned well postoperatively. After a median follow-up period of 48 months, the results revealed no catheter malfunction or any abdominal complication.
Conclusions
Laparoscopic omental folding is feasible in children, but further well-designed prospective studies are needed to evaluate the advantages of our technique.
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Conflict of interest
The authors declare that there is no actual or potential conflict of interest in relation to this article.
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This study has been presented at the 25th Congress of Turkish Pediatric Surgeons, October 22–26, 2007 Çeşme-Turkey, on a video presentation section, and at the 12th Congress of the International Society for Peritoneal Dialysis, June 21–24, 2008 Istanbul, Turkey.
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Kaya, M., Boleken, M., Soran, M. et al. Laparoscopic omental folding: a new procedure to prevent omental wraps of continuous peritoneal dialysis catheters. Eur Surg 44, 345–348 (2012). https://doi.org/10.1007/s10353-012-0161-0
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DOI: https://doi.org/10.1007/s10353-012-0161-0