A randomised controlled trial of conventional open versus laparoscopic surgery for peritoneal dialysis (PD) peritonitis

niversity Hospitals of Leicester NHS Trust (UK)0 个研究点目标入组 60 人开始时间: 2009年11月30日最近更新: 2017年10月30日

适应症

试验速览

暂无简介。

•1. Any patient (both males and females) 18 years or over presenting with PD peritonitis requiring surgery referred by a nephrologist to the surgical team as defined below:
•1.1. Failure of the medical treatment described above i.e. refractory peritonitis. In these cases the use of appropriate IP/IVantibiotics fails to improve the patient's clinical condition (pain and abdominal tenderness) and the turbid effluent PD fluid doesn't become clear, suggesting that infection is ongoing. There may also be signs of systemic sepsis with persistent tachycardia, pyrexia, a raised white count and a raised C reactive protein
•1.2. Clinical signs of generalised peritonitis: generalised severe abdominal tenderness with rigidity, rebound tenderness and loss of bowel sounds
•1.3. Peritonitis caused by pseudomonas species
•1.4. Fungal peritonitis
•2. The above patients that are not already included in a clinical trial
•3. The above patients that consent to participate in the trial

•1. Patients from which formal consent cannot be taken
•2. Patients with poor respiratory function that may be put at risk by laparoscopic surgery as assessed by an anaesthetist
•3. Patients that have had multiple laparotomy procedures and history of adhesions as a result of the surgery

发起方

niversity Hospitals of Leicester NHS Trust (UK)