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Bruce A. Orkin, MD; Eric W. Fonkalsrud, MD; Isidro B. Salusky, MD; Robert B. Ettenger, MD; Theresa Hall, RN; Stanley C. Jordan, MD; Richard N. Fine, MD

Arch Surg. 1983;118(12):1398-1402.

Abstract
• Based on clinical experience with 35 subjects younger than 21 years of age who underwent continuous ambulatory peritoneal dialysis (CAPD) during a two-year period at our institution, this procedure was found to be superior to hemodialysis in children because it allowed great freedom of activity and produced fewer complications requiring hospitalization. Moreover, CAPD appeared to be less expensive than hemodialysis, and no mortality or significant morbidity occurred during the 386 patient-months of catheter usage. Exit site infections, peritonitis, and abdominal hernias were the most common complications, often requiring minor surgical repairs. Using a specific operative technique for catheter placement and smaller volumes of dialysate during the first week after placement, these complications were minimized. Thus, CAPD is an effective, advantageous method for treatment of end-stage renal disease in children.

(Arch Surg 1983;118:1398-1402)

Author Affiliations
From the Departments of Surgery (Drs Orkin and Fonkalsrud) and Pediatrics (Drs Salusky, Ettenger, Hall, Jordan, and Fine), UCLA School of Medicine, Los Angeles.

Footnotes
Accepted for publication July 26, 1983.

Read before the Annual Meeting of the Southern California Chapter of the American College of Surgeons, Rancho Mirage, Calif, Jan 15, 1983.

Reprint requests to Department of Surgery, UCLA School of Medicine, Los Angeles, CA 90024 (Dr Fonkalsrud).

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