Comparison of two methods of median and paramedian surgery for peritoneal dialysis catheter placement in Children

Abstract

There are several methods for dialysis in patients with chronic renal failure in children. One of these methods is the insertion of a peritoneal dialysis catheter, which can be embedded with para-median and midline. The purpose of this study is to compare the complications and the success rate of these two methods. Methods: All patients under the age of 7 years who had undergone a peritoneal dialysis catheter due to renal failure were randomly assigned to one of the midline or para-median methods. Patient files were extracted, and demographic data, and the occurrence of early and late complications and success rate in each group were extracted and recorded. Results: Peritoneal dialysis catheter was used for 41 patients (15 patients (36.58%) by Para-median method and 26 patients (63.42%) by midline method). Early complications such as obstruction (P = 0.035), Leak (P = 0.033) and local infection (P = 0.02) and late complications such as late discharge leakage (P = 0.033) and outbreak infection or tunnel (P = 0.028) is significantly lower in Para-median method. The success rate of higher peritoneal dialysis catheter in Para-median method was compared to midline method (P = 0.02).