Is peritoneal dialysis feasible after laparotomy in children? A case-control series to compare outcomes

Despite a higher incidence of complications (malfunction and infections), PD remains an acceptable option after laparotomy. In this series, it was sufficient in achieving adequate filtration in five patients.Table. Characteristics of patients, details of catheter use and complications, and overall efficacy of PD in both groups.Total24 patientsMedian age (m) at insertionMedian weight (kg) at insertionTechnique of insertion: laparoscopicMedian delay before 1st use (d)Median percentage of maximum theoretical volumeComplicationsMedian of catheter survival (mEfficacy1400 ml/m2 if >2 y40 ml/kgMalfunctionInfection800 ml/m2 if <2 yLAP (n = 6)114 (5.5 m-15 y)24.6 (3.8-37.5)4 patients1.5 (1-3)86%83%1 per 23 months of dialysis 0.01 per catheter per month1 per 17 months of dialysis 0.01 per catheter per month12 m (1 w-2 y)5 of 6 patientsNO-LAP (n = 18)133.5 (1 w-16.5 y)33.1 (4-41.8)14 patients1 (1-45)77%86%1 per 31 months of dialysis 0.001 per catheter per month1 per 27 months of dialysis 0.001 per catheter per month11.5 m (2 w-3 y)18 of 18 patients