Keywords
Renal failure; Children; Surgery
Abstract
Objective: To assess the routine surgical practices of consultant pediatric surgeon in the Maghrebian country in their management of peritoneal dialysis.
Methods: During the twelve Maghrebiancongess of pediatric surgery in Tunis May. 2012, a session of quiz survey (4 Questions) about the surgical aspect of pediatric peritoneal dialysis was dedicated. 60 surgeons participate to this session. An electronic voting system was used.
Results: 60% of surgeons practice a mini-laparotomy for catheter insertion. Half of the participants use a double cuff catheter while the other half uses a simple cuff catheter. 65% of participant allows initiation of dialysis within 7 days post catheter insertion. Only 13% of the pediatric surgeons perform an omentectomy at the time of the insertion of the catheter.
Conclusion: The placement of a PD catheter requires an experienced surgeon and should be given appropriate priority. Adhesions to guidelines may improve outcome of patient by reducing the early peritoneal dialysis catheter failure in children in our countries.
Citation
Jallouli M,Dhaou MB and Mhiri R. Surgical Aspect of Pediatric Peritoneal Dialysis: A Survey of the Maghreb Pediatric Surgeon. SM J Pediatr Surg. 2015;1(1):1003.