ABSTRACT
Continuous ambulatory peritoneal dialysis by using Tenckhoff catheter for the treatment of children with end stage renal disease has become firmly established during the last 3 decades as a widely used safe technique. To highlight the technique that may improve the outcome of Tenckhoff catheter for peritoneal dialysis in children. Over the last 2 years, thirty children presented to Saudi hospital in Yemen republic, suffering from end stage renal disease had been subjected to insertion of pediatric Tenckhoff catheter, through midline infra-umbilical incision. Peritonitis had been recorded in 4 patients [13.33%], 3 patients [10%] experienced exit site infection, 3 patients [10%] had outflow obstruction of the catheter, dialysate fluid leakage occurred in 2 patients [6.6%], inguinal hernia was detected in 1 patient [3.3%], and 1 patient [3.3%] died [non-catheter related death]. Routine subtotal omentectomy is better to be done to decrease the outflow obstruction and double cuff catheter is more durable than single cuff catheter with lesser incidence of fewer complications