Laparoscopic interventions in children on peritoneal dialysis
Introduction: The benefits of peritoneal dialysis (PD) are multiple. However, it is connected with the risk of numerouscomplications, both infectious and non-infectious. Laparoscopic interventions in children on PD have seldom been presented.Aim: To analyse laparoscopic interventions in 23 children...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Medycyna Praktyczna
2010-12-01
|
| Series: | Videosurgery and Other Miniinvasive Techniques |
| Subjects: | |
| Online Access: | http://www.termedia.pl/Laparoscopic-interventions-in-children-on-peritoneal-dialysis,42,15800,1,0.html |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Summary: | Introduction: The benefits of peritoneal dialysis (PD) are multiple. However, it is connected with the risk of numerouscomplications, both infectious and non-infectious. Laparoscopic interventions in children on PD have seldom been presented.Aim: To analyse laparoscopic interventions in 23 children (mean age 10.2 ±5.2 years) treated with PD.Performed procedures (30) included: diagnostic (explorative) laparoscopy, laparoscopic replacement of thecatheter and laparoscopic recanalisation of occluded catheter.Results: In 29 cases laparoscopy with reduced invasive procedures was completed. During surgery 5 catheters wereremoved. In 16 cases of catheter malfunction, omental wrap releasing, recanalization and/or reposition was done,including omentectomy in 9 cases. In 6 cases of acute abdomen symptoms, 3 adhesiolysis procedures in bowelobstruction, 2 appendectomies and in 1 case laparoscopic reduction of intussusception were done. There were nointraoperative complications. After surgery PD was continued in 19 children. Catheter survival rate was 261 ±297 days.Conclusion: Laparoscopic surgery had no influence on peritoneal permeability or adequacy of PD treatment.Laparoscopic technique is highly effective in children on PD especially related to catheter malfunction. Itis an excellent option that enables restarting of PD shortly after the surgery. |
|---|---|
| ISSN: | 1895-4588 |