ArticlePediatric surgery international2018
Peritoneal dialysis catheter placement, outcomes and complications.
Article in Pediatric surgery international, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled it.
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Who cites it
13 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- SAGES peritoneal dialysis access guideline update 2023.Surgical endoscopy · 2024Guideline
- Omental Procedures During Peritoneal Dialysis Insertion: A Systematic Review and Meta-Analysis.World journal of surgery · 2022Pooled it
- Surgical versus percutaneous catheter placement for peritoneal dialysis: an updated systematic review and meta-analysis.Journal of nephrology · 2021Pooled it
- The pedfix technique: a new minimally invasive method of peritoneal dialysis catheter insertion with secure fixation to the abdominal wall-a preliminary experience.Pediatric surgery international · 2026Article
- Life-Threatening Noninfectious Complications of Peritoneal Dialysis in an Infant with End-Stage Kidney Disease.Pediatric reports · 2025Article
- Non-infectious complications of peritoneal dialysis in children.Pediatric nephrology (Berlin, Germany) · 2025Review
- Comparative analysis of complications and technique survival in peritoneal dialysis catheter insertion: single purse-string suture vs. double purses-string suture.Renal failure · 2024Article
- Article
- Risk factors for early dialysate leakage around the exit site after catheter placement in pediatric peritoneal dialysis: a single-center experience.Clinical and experimental nephrology · 2023Article
- Relationship between laparoscopic and microscopic findings of peritoneum in peritoneal dialysis patients.Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs · 2023Article
- Acute peritoneal dialysis is an efficient and reliable alternative therapy in preterm neonates with acute kidney injury.Translational pediatrics · 2021Article
- Evaluation of non-infectious complications of peritoneal dialysis in children: a multicenter study.Pediatric nephrology (Berlin, Germany) · 2021Article
- Small Bowel Obstruction with a Transition Point in a Patient on Peritoneal Dialysis.Case reports in nephrology and dialysisArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposePeritoneal dialysis (PD) is a commonly used method for renal support in pediatric patients and can be associated with the risk of post-surgical complications. We evaluated method of placement of PD catheters with regard to post-surgical complications.
methodsPD catheters placed at two institutions between 2005 and 2017 were reviewed. Complication rates were evaluated based on method of placement, delayed usage, omentectomy, and patient age using Fisher's exact test, two-sided, with significance set at 0.05. Factors influencing complication were evaluated with multivariate logistic regression and Kaplan-Meier survival analysis.
resultsThere were 130 patients with 157 catheters placed, ranging in age from 1 day to 23 years. There was no significant difference in complication rate by method of placement or delayed usage. Infants were significantly more likely to experience leakage (21% vs 8%, p 0.036) and hernias (15% vs 5%, p 0.030). Patients that underwent an omentectomy were less likely to require a catheter replacement (7% vs 27%, p 0.004), and the catheters had a significantly higher survival rate (p 0.009). We found that laparoscopic intervention resulted in catheter salvage. Lateral exit sites may be a risk factor for catheter migration in some patients.
conclusionsOmentectomy is associated with longer PD catheter survival. Laparoscopic salvage of dysfunctional catheters may be a valuable adjunct in management.
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