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A simple modified open peritoneal dialysis catheter insertion procedure reduces the need for secondary surgery

  • Nephrology - Original Paper
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Abstract

Background

The aim of this retrospective study was to assess the efficacy of a modified peritoneal dialysis catheter insertion technique for reducing the incidence of mechanical complications.

Methods

We conducted a retrospective analysis of clinical data of 346 patients undergoing peritoneal dialysis catheter insertion at our peritoneal dialysis center. The traditional procedure was performed in 157 patients (group A) and the modified procedure in 189 patients (group B). The double-polyester-cuff straight Tenckhoff catheter was used in all patients.

Results

At the end of 1 year, tunnel inflammation was more common in group A (21 patients after 0.011 patient-months follow-up versus 10 patients in group B after 0.007 patient-months of follow-up; p = 0.009). Technical survival rate of the catheter was significantly higher in group B (97.35% in group B vs. 89.81% in group A; p = 0.005). All-cause mortality was not significantly different between the two groups (4.5% in group A vs. 3.2% in group B; p = 0.532). Postoperative mechanical complications were also higher in group A (32 patients [20.4%] in group A vs. 3 patients [1.6%] in group B; p < 0.001). The incidences of complications such as hernia, dialysis fluid leakage, hemorrhage, incision infection, and prolapse of the polyester cuff were similar in the two groups.

Conclusion

The simple modified peritoneal dialysis catheter insertion procedure decreases the occurrence of catheter migration andomental encapsulation and improves the technical survival rate of the catheter.

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Acknowledgements

We thank our operation team and PD nursing team for their able assistance. This work was supported by Guangdong Provincial Natural Science Foundation (Grant No. 2016A030310193).

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Author notes

  1. Yingqin Li and Ye Zhu contributed equally to this study.

Authors and Affiliations

  1. Nephrology Department, The Fifth Affiliated Hospital of Sun Yat-sen University, No. 52 Meihua Road, Zhuhai, 519000, China

    Ye Zhu, Huitao Zhang & Weiping Zhu

  2. Radiology Department, The Fifth Affiliated Hospital of Sun Yat-sen University, No. 52 Meihua Road, Zhuhai, 519000, China

    Yingqin Li

  3. Radiotherapy Department, The Fifth Affiliated Hospital of Sun Yat-sen University, No. 52 Meihua Road, Zhuhai, 519000, China

    Zibin Liang

  4. Respiration Department, The Fifth Affiliated Hospital of Sun Yat-sen University, No. 52 Meihua Road, Zhuhai, 519000, China

    Xiaobin Zheng

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  1. Yingqin Li
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  2. Ye Zhu
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  3. Zibin Liang
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  4. Xiaobin Zheng
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Correspondence to Weiping Zhu.

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Li, Y., Zhu, Y., Liang, Z. et al. A simple modified open peritoneal dialysis catheter insertion procedure reduces the need for secondary surgery. Int Urol Nephrol 51, 729–736 (2019). https://doi.org/10.1007/s11255-019-02101-9

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  • DOI: https://doi.org/10.1007/s11255-019-02101-9

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