Combined fluoroscopic‐ and sonographic‐assisted Tenckhoff catheter insertion for patients with previous intraperitoneal surgery

2021 ◽  
Author(s):  
Vinoth Kasi Rajan Athmalingam ◽  
Koh Wei Wong
Keyword(s):  
Catheter Insertion ◽  
Tenckhoff Catheter

scholarly journals A Simple Tenckhoff Catheter Placement Technique for Continuous Ambulatory Peritoneal Dialysis (CAPD) Using the Bandung Method

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Jonny ◽  
Rudi Supriyadi ◽  
Rully Roesli ◽  
Goh Bak Leong ◽  
Lydia Permata Hilman ◽  
...  
Keyword(s):  
Developing Countries ◽  
Peritoneal Dialysis ◽  
Continuous Ambulatory Peritoneal Dialysis ◽  
Cost Effective ◽  
Catheter Insertion ◽  
Catheter Removal ◽  
Seldinger Technique ◽  
Invasive Technique ◽  
Tenckhoff Catheter ◽  
Stage Renal Disease

Insertion of Tenckhoff catheters for continuous ambulatory peritoneal dialysis by nephrologists remains uncommon in most developing countries, including Indonesia. The aim of this study is to describe our experience on a simple technique of Tenckhoff catheter insertion by a nephrologist called the Bandung method. We conducted a retrospective observational study from May 2012 until December 2018 in 230 patients with end-stage renal disease using the Bandung method, a blind percutaneous insertion approach modified from the Seldinger technique. Early complications after insertion were assessed. The mean age of patients was 47.28 years (range 14–84 years). Within 1 month after insertion, complications occurred in 34 patients: 13 (5.7%) malposition, 8 (3.5%) omental trapping, 6 (2.6%) outlow failure, 3 (1.3%) peritonitis, 1 (0.4%) catheter infections, 1 (0.4%) bleeding, 1 (0.4%) kinking, and 1 (0.4%) hernia. None of these complications led to catheter removal. One patient experienced a late (>1 month) post-insertion complication of malposition that could not be repositioned and led to catheter removal. The Bandung method is a simple, cost effective, and minimally invasive technique for Tenckhoff catheter insertion that is associated with the same rate of complications compared to other techniques. This technique may useful for application in developing countries.

scholarly journals A rare complication of Tenckhoff catheter insertion

2008 ◽  
Vol 1 (4) ◽  
pp. 262-263
Author(s):  
R. Diwakar ◽  
L. Diwakar ◽  
M. David
Keyword(s):  
Rare Complication ◽  
Catheter Insertion ◽  
Tenckhoff Catheter

Infection Prophylaxis in Peritoneal Dialysis Patients: Results from an Australia/New Zealand Survey

2017 ◽  
Vol 37 (2) ◽  
pp. 191-197 ◽  
Author(s):  
Denise J. Campbell ◽  
David W. Mudge ◽  
Martin P. Gallagher ◽  
Wai Hon Lim ◽  
Dwaraka Ranganathan ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
New Zealand ◽  
Antifungal Prophylaxis ◽  
Catheter Insertion ◽  
Infection Prophylaxis ◽  
Infection Rates ◽  
Clinical Practices ◽  
Tenckhoff Catheter ◽  
Mupirocin Ointment ◽  
End Stage

BackgroundClinical practice guidelines aim to reduce the rates of peritoneal dialysis (PD)-related infections, a common complication of PD in end-stage kidney disease patients. We describe the clinical practices used by Australian and New Zealand nephrologists to prevent PD-related infections in PD patients.MethodsA survey of PD practices in relation to the use of antibiotic and antifungal prophylaxis in PD patients was conducted of practicing nephrologists identified via the Australia and New Zealand Society of Nephrology (ANZSN) membership in 2013.ResultsOf 333 nephrologists approached, 133 (39.9%) participated. Overall, 127 (95.5%) nephrologists prescribed antibiotics at the time of Tenckhoff catheter insertion, 85 (63.9%) routinely screened for nasal S. aureus carriage, with 76 (88.4%) reporting they treated S. aureus carriers with mupirocin ointment. Following Tenckhoff catheter insertion, 79 (59.4%) prescribed mupirocin ointment at the exit site or intranasally, and 93 (69.9%) nephrologists routinely prescribed a course of oral antifungal agent whenever their PD patients were given a course of antibiotics.ConclusionsAlthough the majority of nephrologists prescribe antibiotics at the time of Tenckhoff catheter insertion, less than 70% routinely prescribe mupirocin ointment and/or prophylactic antifungal therapy. This variation in practice in Australia and New Zealand may contribute to the disparity in PD-related infection rates that is seen between units.

Fistula use after concurrent arteriovenous fistula formation and Tenckhoff catheter insertion

Nephrology ◽  
2012 ◽  
Vol 18 (1) ◽  
pp. 22-25 ◽  
Author(s):  
Simon H Jiang ◽  
Patrick G Lan ◽  
James Yeung ◽  
Martin Gallagher
Keyword(s):  
Arteriovenous Fistula ◽  
Catheter Insertion ◽  
Fistula Formation ◽  
Tenckhoff Catheter

An Unusual Complication of Laparoscopic Tenckhoff Catheter Insertion

2006 ◽  
Vol 26 (1) ◽  
pp. 114-115
Author(s):  
S.K. Bhagat ◽  
B. Viswaroop ◽  
A. Devasia ◽  
N. Chacko ◽  
G.T. John ◽  
...  
Keyword(s):  
Catheter Insertion ◽  
Unusual Complication ◽  
Tenckhoff Catheter

Mini-Laparotomy Implantation of Peritoneal Dialysis Catheters: Outcome and Rescue

2010 ◽  
Vol 30 (5) ◽  
pp. 513-518 ◽  
Author(s):  
Po-Jen Yang ◽  
Chih-Yuan Lee ◽  
Chi-Chuan Yeh ◽  
Hsiao-Ching Nien ◽  
Tun-Jun Tsai ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Laparoscopic Surgery ◽  
Postoperative Care ◽  
Catheter Insertion ◽  
Exit Site ◽  
Tenckhoff Catheter ◽  
Experienced Surgeon ◽  
Catheter Obstruction ◽  
Surgical Methods ◽  
Mini Laparotomy

BackgroundContinuous ambulatory peritoneal dialysis is one of the main treatments for end-stage renal disease. To correct mechanical outflow obstruction after open surgical methods of catheter insertion, laparoscopic techniques are widely employed.MethodsBetween January 2001 and December 2006, 228 open Tenckhoff catheter implantations were carried out by mini-laparotomy in 218 patients at our medical center. The procedures were all performed by an experienced surgeon, and the postoperative care, patient education, and long-term follow-up were all conducted by the same peritoneal dialysis team.ResultsInfection of the exit site or tunnel was the most common complication (27/228, 11.8%), followed by peritonitis (18/228, 7.9%) and refractory mechanical catheter obstruction (9/228, 3.9%). The main causes of catheter removal were successful renal transplantation (21/228, 9.2%), peritonitis (18/228, 7.9%), and infection of the exit site or tunnel (7/228, 3.1%). In the 9 cases of refractory mechanical catheter obstruction, laparoscopic surgery was performed to identify the pathology and to rescue the catheter at the same time. Omental wrapping was the major cause (8/9) of catheter obstruction, with blood clot in the lumen and tube migration occurring in the remaining case (1/9). Partial omentectomy was performed in 5 patients to prevent recurrent obstruction. Neither technique failure nor operation-related complications were noted in our laparoscopic rescue group. For 20 of the 25 patients with refractory infection of the exit site or tunnel, the salvage technique of partial re-plantation was performed, with an 85% (17/20) technique survival rate.ConclusionsWith an experienced surgeon and a good postoperative care team, open paramedian placement is a simple, safe, and effective method for Tenckhoff catheter insertion, with a low complication rate. Laparoscopic surgery is effective as rescue for mechanical obstruction, and partial re-plantation is effective as salvage for exit-site or tunnel infection.

scholarly journals Comparison of Early Mechanical and Infective Complications in First Time Blind, Bedside, Midline Percutaneous Tenckhoff Catheter Insertion with Ultra-Short Break-in Period in Diabetics and Non-Diabetics: Setting New Standards

2016 ◽  
Vol 36 (6) ◽  
pp. 655-661 ◽  
Author(s):  
Ninoo George ◽  
Suceena Alexander ◽  
Vinoi George David ◽  
Gopal Basu ◽  
Anjali Mohapatra ◽  
...  
Keyword(s):  
Significant Risk ◽  
Significant Risk Factor ◽  
Catheter Insertion ◽  
Diabetic Patients ◽  
Catheter Survival ◽  
Technique Survival ◽  
Catheter Migration ◽  
Tenckhoff Catheter ◽  
Percutaneous Catheter ◽  
Infective Complications

Background There are no large studies that have examined ultra-short break-in period with a blind, bedside, midline approach to Tenckhoff catheter insertion. Methods Observational cohort study of 245 consecutive adult patients who underwent percutaneous catheter insertion for chronic peritoneal dialysis (PD) at our center from January 2009 to December 2013. There were 132 (53.9%) diabetics and 113 (46.1%) non-diabetics in the cohort. Results The mean break-in period for the percutaneous group was 2.68 ± 2.6 days. There were significantly more males among the diabetics (103 [78%] vs 66 [58.4%], p = 0.001). Diabetics had a significantly higher body mass index (BMI) (23.9 ± 3.7 kg/m2 vs 22.2 ± 4 kg/m2, p < 0.001) and lower serum albumin (33.1 ± 6.3 g/L vs 37 ± 6 g/L, p < 0.001) compared with non-diabetics. Poor catheter outflow was present in 6 (4.5%) diabetics and 16 (14.2%) non-diabetics ( p = 0.009). Catheter migration was also significantly more common in the non-diabetic group (11 [9.7%] vs 2 [1.5%], p = 0.004). Primary catheter non-function was present in 17(15%) of the non-diabetics and in 7(5.3%) of the diabetics ( p = 0.01). There were no mortality or major non-procedural complications during the catheter insertions. Among patients with 1 year of follow-up data, catheter survival (93/102 [91.2%] vs 71/82 [86.6%], p = 0.32) and technique survival (93/102 [91.2%] vs 70/82 [85.4%], p = 0.22) at 1 year was comparable between diabetics and non-diabetics, respectively. Conclusions Percutaneous catheter insertion by practicing nephrologists provides a short break-in period with very low mechanical and infective complications. Non-diabetic status emerged as a significant risk factor for primary catheter non-function presumed to be due to more patients with lower BMI and thus smaller abdominal cavities. This is the first report that systematically compares diabetic and non-diabetic patients.

Radiological Tenckhoff catheter insertion for peritoneal dialysis: A cost-effective approach

2017 ◽  
Vol 62 (2) ◽  
pp. 174-178 ◽  
Author(s):  
James Lee ◽  
Nigel Mott ◽  
Usman Mahmood ◽  
John Clouston ◽  
Kara Summers ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Cost Effective ◽  
Catheter Insertion ◽  
Tenckhoff Catheter ◽  
Cost Effective Approach
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