Title: peritoneal dialysis catheter placement, outcomes and complications source pediatric surgery international, volume 34, 2018 (1239¿1244).Date of publication: 4 september 2018.If information is provided in the future, a supplemental report will be issued.
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According to literature source of study performed at two institutions, 14% of patients developed leakage, 10% of patients developed infection, 6% of patients had adhesions requiring surgery, 6% of patients had catheter migration and 10% of patients had associated ventral hernias out of the 157 catheters placed ranging in age from 1 day to 23 years.Of the catheters that required replacement, 36% of patients had leakage, 14% of patients had catheter migration, 5% of patients had adhesion, 18% of patients were infected, and 5% of patients had a hernia.The catheters used were curl-type peritoneal dialysis catheters or catheters of a very similar type.The patients that underwent an omentectomy were 75% less likely to require a catheter replacement.It was found out that laparoscopic intervention resulted in catheter salvage, lateral exit sites may be a risk factor for catheter migration in some patients, and omentectomy is associated with longer pd (peritoneal dialysis) catheter survival.Laparoscopic salvage of dysfunctional catheters may be a valuable adjunct in management.
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