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Medical Journal of Islamic Republic of Iran، جلد ۲۸، شماره ۱، صفحات ۲۴۴-۲۴۸

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عنوان انگلیسی Comparison of percutaneous versus open surgical techniques for placement of peritoneal dialysis catheter in children: A randomized clinical trial
چکیده انگلیسی مقاله Background: This research compares the outcomes of percutaneous technique and open surgical peritoneal dialysis catheter placement in children. Methods: In this randomized controlled trial, between 2010 and 2011,a total of 35 pediatric uremic patients were enrolled and randomized into two study groups. Follow up data included duration of operation (minute), duration of hospitalization (days) and onset time of peritoneal dialysis. Complications were considered as mechanical and infectious. Results: The percutaneous procedure was significantly faster than the open surgical technique (9.5 ± 1.81 versus 27.00 ± 2.61 minutes, p= 0.0001). The onset of dialysis was earlier in percutaneous insertion. There were no cases of hollow viscous perforation, early peritonitis and exit site infection at the 3rd, 7th, and 14th day in both groups. Complications in open surgical group were include wrapped omentum in 4 (23.5%), catheter malposition in 3 (17.6%),delayed exit site infection in 2 (11.7%), Incisional hernia in 1 (5.8%)and hemoperitoneum in 2 (11.7%)cases. Complications in percutaneous insertion group were include catheter malposition and wrapped omentum each in one case. Conclusion: Percutaneous method with secure insertion of the catheter reduced the rate of some complications.Although they were not statistically significant, this technique reduces the time of hospitalization and operation without need to general anesthesia. The onset of dialysis was earlier significantly. Trial registry code: IRCT2013091514670N1
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نویسندگان مقاله علیرضا مریخی | alireza merrikhi
alzahra hospital, isfahan university of medical sciences, isfahan, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی اصفهان (Isfahan university of medical sciences)

حجت اله راجی اسدآبادی | hojatollah raji asadabadi
bahrami children hospital, tehran university of medical sciences, tehran, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)
سازمان های دیگر: بیمارستان کودکان بهرامی

علی اکبر بیگی | ali akbar beigi
alzahra hospital, isfahan university of medical sciences, isfahan, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی اصفهان (Isfahan university of medical sciences)
سازمان های دیگر: بیمارستان الزهرا

سید مهدی مرعشی | sayed mahdi marashi
legal medicine research center, legal medicine organization,tehran, iran.


حافظ قاهری | hafez ghaheri
alzahra hospital, isfahan university of medical sciences, isfahan, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی اصفهان (Isfahan university of medical sciences)
سازمان های دیگر: بیمارستان الزهرا

زهره نصیری زارچ | zohre nasiri zarch
department of psychology, faculty of psychology, shahid beheshti university, tehran, iran.

سازمان اصلی تایید شده: دانشگاه شهید بهشتی (Shahid beheshti university)


نشانی اینترنتی http://mjiri.iums.ac.ir/browse.php?a_code=A-10-1-667&slc_lang=en&sid=en
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