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  • Title: Placement of a peritoneal dialysis catheter with routine omentectomy--does it prevent obstruction of the catheter?
    Author: Reissman P, Lyass S, Shiloni E, Rivkind A, Berlatzky Y.
    Journal: Eur J Surg; 1998 Sep; 164(9):703-7. PubMed ID: 9728791.
    Abstract:
    OBJECTIVE: To find out if routine omentectomy reduced the incidence of obstruction and other complications of catheters inserted for continuous ambulatory peritoneal dialysis (CAPD). DESIGN: Retrospective study. SETTING: Teaching hospital, Israel. SUBJECTS: 60 patients with end stage renal failure who needed catheters for CAPD. INTERVENTION: Routine omentectomy during insertion of the catheter, usually under local anaesthesia. MAIN OUTCOME MEASURES: 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.
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