scholarly journals Comparative Study on the Outcomes of Elective-Start versus Urgent-Start Peritoneal Dialysis Catheter Placement

2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Ahmed Kamel Abdel Aal ◽  
Khalid Mahmoud ◽  
Amr Soliman Moustafa ◽  
Noha Alaaeldin Aboueldahab ◽  
Anas Souid ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Patient Survival ◽  
Group Versus ◽  
Catheter Removal ◽  
Complication Rates ◽  
Peritoneal Dialysis Catheter ◽  
Dialysis Catheter ◽  
Removal Rates ◽  
The Mean ◽  
Laparoscopic Techniques

The aim of this study is to compare the outcomes of the elective-start versus urgent-start use of peritoneal dialysis (PD) catheters using percutaneous radiologic or laparoscopic techniques. Patients having their first peritoneal dialysis catheter placed and used between January 2005 and January 2018 were identified, and their medical records were retrospectively reviewed. Two groups were identified: elective-start (n = 211) and urgent-start (n = 29). Patient’s demographics were similar between the two groups with the exception of age, which was higher in the elective-start group. The catheter complication rates and catheter removal rates at 3 and 12 months, mean days-to-first complication, mean days-to-catheter removal, and overall patient survival at 12 months were analyzed. Catheter complication rates at 3 and 12 months were similar between the two groups (27.8% and 48.9%, respectively, in the elective-start group versus 35.9% and 54.2%, respectively, in the urgent-start group, p=0.415). The catheter removal rates at 3 and 12 months were also similar between the two groups (p=0.088). Catheter leak was higher in the urgent-start group (13.8% versus 3.3%, respectively, p=0.011). There was no difference between the elective-start and the urgent-start groups in the mean days-to-first complication (95 vs 69, p=0.086), mean days-to-catheter removal (145 vs 127, p=0.757), and overall patient survival at 12 months (100% vs 97%, p=0.41). In conclusion, apart from catheter leak, there were similar rates of catheter complication and removal for PD catheter used for the elective-start compared to the urgent-start PD. Furthermore, the technique of placement did not affect the outcomes.

Successful Treatment of Peritoneal Dialysis Catheter-RelatedChryseobacterium indologenesPeritonitis Without Catheter Removal

2016 ◽  
Vol 1 (1) ◽  
pp. 16-18
Author(s):  
Sevil Uygun Ilikhan ◽  
Muammer Bilici ◽  
Basak Delikanli ◽  
Ayse Semra Demir Akca ◽  
Birsen Unal Koyuncu ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Successful Treatment ◽  
Catheter Removal ◽  
Peritoneal Dialysis Catheter ◽  
Dialysis Catheter

Peritoneal Dialysis Catheter Removal by Nephrologists: Technical Aspect from a Single Center

2010 ◽  
Vol 30 (5) ◽  
pp. 570-572 ◽  
Author(s):  
Arzu Kahveci ◽  
Elif Ari ◽  
Ebru Asicioglu ◽  
Hakki Arikan ◽  
Serhan Tuglular ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Technical Aspect ◽  
Catheter Removal ◽  
Peritoneal Dialysis Catheter ◽  
Dialysis Catheter ◽  
Single Center

Randomized Prospective Comparison of Laparoscopic and Open Peritoneal Dialysis Catheter Insertion

1999 ◽  
Vol 19 (4) ◽  
pp. 372-375 ◽  
Author(s):  
Mark J. Wright ◽  
Khalid Bel'eed ◽  
Brian F. Johnson ◽  
David W. Eadington ◽  
Leslie Sellars ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Catheter Insertion ◽  
Renal Unit ◽  
Complication Rates ◽  
Peritoneal Dialysis Catheter ◽  
Dialysis Catheter ◽  
Catheter Survival ◽  
Conventional Procedure ◽  
Prospective Comparison ◽  
Duration Of Surgery

Objective To compare laparoscopic and conventional peritoneal dialysis catheter insertion with respect to post operative discomfort, complication rates, and catheter survival. Design Randomized prospective study. Setting Tertiary referral renal unit. Patients Fifty patients commencing peritoneal dialysis. Intervention Catheters were implanted laparoscopically or by a conventional surgical technique. Main Outcome Measures The duration of surgery, hospital stay, pain scores, and analgesic requirements were recorded. Complications (early/late) and catheter survival were compared. Results The conventional procedure was faster than the laparoscopic (14.3 vs 21.9 minutes, p < 0.0001). There was no difference in any other parameter assessed. Conclusions The data suggest that the insertion techniques are equivalent, and that laparoscopic insertion does not reduce early complication rates.

A modified laparoscopic peritoneal dialysis insertion technique, the ‘one scar technique’ can minimise short and long term complications: A retrospective cohort study

2020 ◽  
pp. 112972982096197
Author(s):  
Aya Musbahi ◽  
Venkatesh Kanakala
Keyword(s):  
Peritoneal Dialysis ◽  
Catheter Insertion ◽  
Complication Rates ◽  
Peritoneal Dialysis Catheter ◽  
Dialysis Catheter ◽  
Insertion Technique ◽  
Catheter Migration ◽  
Significant Difference ◽  
Modification Technique ◽  
Post Modification

Introduction: Peritoneal dialysis is a renal replacement therapy that has advanced in technique over the last few decades. In this study, we describe a novel method for laparoscopic peritoneal dialysis catheter insertion and fixation and compare its outcome to standard laparoscopic insertion technique with better cosmetic outcome. Method: Peri-operative and follow up data was collected retrospectively for 184 patients undergoing peritoneal dialysis catheter insertion from September 2012 to September 2018. Results: The post-modification technique showed no difference in catheter blockage rates, incisional hernia or catheter replacement rates. A significant difference was found in catheter migration rate and exit site infections and overall complication rates, found to be lower using the new technique. Conclusion: A modification of the laparoscopic peritoneal dialysis technique is superior to standard laparoscopic insertion with a cosmetically more appealing outcome due to one visible.

Outcomes of Peritoneal Dialysis Catheter Left in Place after Kidney Transplantation

2017 ◽  
Vol 37 (6) ◽  
pp. 651-654 ◽  
Author(s):  
Saúl Pampa-Saico ◽  
Fernando Caravaca-Fontán ◽  
Víctor Burguera-Vion ◽  
Víctor Diéz Nicolás ◽  
Estefanía Yerovi-León ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Kidney Transplantation ◽  
Graft Function ◽  
Optimal Time ◽  
Complication Rates ◽  
Peritoneal Dialysis Catheter ◽  
Dialysis Catheter ◽  
Exit Site ◽  
Exit Site Infection

No clear consensus has been reached regarding the optimal time to remove the peritoneal dialysis catheter (PDC) after kidney transplantation (KT). This retrospective observational study, conducted in a single peritoneal dialysis (PD) unit including all PD patients who received a KT between 1995 - 2015, was undertaken to evaluate the clinical outcomes and potential complications associated with a PDC left in place after KT. Of the 132 PD patients who received a KT, 20 were excluded from the study. Of the remaining, 112 (85%) patients with functioning KT were discharged with their PDC left in place and had it removed in a mean interval of 5 ± 3 months after KT, after achieving optimal graft function. During this follow-up period, 7 patients (6%) developed exit-site infection and there were 2 cases (2%) of peritonitis; all of them were successfully treated. Delayed PDC removal after KT is associated with low complication rates, although regular examination is needed so that mild infections can be detected early and therapy promptly instituted.

A Technique to Eradicate Tunnel Infection without Peritoneal Dialysis Catheter Removal

1984 ◽  
Vol 4 (3) ◽  
pp. 156-157 ◽  
Author(s):  
Sharon P. Andreoli ◽  
Karen W. West Jay ◽  
L. Grosfeld ◽  
Jerry M. Bergstein
Keyword(s):  
Peritoneal Dialysis ◽  
End Stage Renal Disease ◽  
Major Complication ◽  
Catheter Removal ◽  
Dramatic Improvement ◽  
Peritoneal Dialysis Catheter ◽  
Dialysis Catheter ◽  
Peritoneal Catheter ◽  
Stage Renal Disease ◽  
End Stage

In two adolescents maintained on CAPD, infections of the peritoneal catheter tunnel were treated by an “unroofing” technique. The infections were eradicated without catheter removal or interruption of CAPD. Continuous ambulatory peritoneal dialysis (CAPD) has produced a dramatic improvement in the care of patients with end-stage renal disease. Peritonitis remains a major complication and the most common cause of CAPD failure (1–3). Most episodes of peritonitis can be attributed to a break in the technique of bag exchanges; however, tunnel infections are also implicated (3,4). Tunnel infections are difficult to cure and, if persistent, may make necessary the removal of an otherwise well functioning catheter. We describe two patients with tunnel infections that were eradicated after “unroofing” of the Tenckhoff catheter.

Minimally invasive ‘pull technique’ for peritoneal dialysis catheter removal

2020 ◽  
pp. 089686082091502 ◽  
Author(s):  
Jian Wang ◽  
Xiao-Sheng Li ◽  
Feng-Xia Zhang ◽  
Run-Xiu Wang ◽  
Feng Cao ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Minimally Invasive ◽  
Tensile Force ◽  
Peritoneal Dialysis Catheter ◽  
Dialysis Catheter ◽  
Noninvasive Method ◽  
Silicone Tube ◽  
Invasive Method ◽  
The Mean

A simple, noninvasive method for removing peritoneal dialysis (PD) catheters, called the “pull technique,” has become popular in recent years. Physicians still worry, however, about the range of its application and possible complications such as infection of the retained cuff and breakage. We, therefore, applied this technique in patients and enriched its administration for removing PD catheters. Altogether, 24 PD catheter removals in 24 patients were reviewed during the period from July 2018 to October 2019 in our hospital. Using the pull technique, the PD catheter’s superficial cuff was dissected using an electronic knife, and the deep cuff was retained. All patients’ catheters were successfully removed with no breakage. No incision or retained cuff was infected during the follow-up period (1.1–15.6 months). The appropriate peak force of pull traction was approximately 12–13 pounds, not very different from the mean maximum tensile force of 21.48 pounds for silicone tube breakage. The use of intermittent (rather than sustained) traction may reduce the breakage risk of the silicone tube. This method is a safe, practical, minimally invasive method for removing PD catheters, and it is suitable for application on special patients with peritonitis or who are on an immunosuppressant.

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