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Dermaport® Peritoneal Dialysis Catheter

  • Benedict D. T. Daly
  • Kurt A. Dasse
Part of the Topics in Renal Medicine book series (TIRM, volume 8)

Abstract

Chronic peritoneal dialysis has been gaining greater popularity in the management of chronic renal failure. It provides the patient greater freedom and mobility with less dependence on the dialysis center. A catheter that penetrates the skin, traverses the soft tissue of the abdominal wall, and lies in the peritoneal cavity permits the exchange of dialysate. However, chronic percutaneous access has been associated with infectious complications, limiting its acceptance and application. Peritonitis caused by intraluminal contamination frequently responds to antibiotic therapy. Infection of the skin and soft tissue of the abdominal wall in the tunnel of the catheter has been a far more serious problem, and the problem necessitating catheter removal in the majority of instances. Pericatheter infection along the tunnel comes from two sources — the peritoneum and the skin. Cuffs, most commonly made of Dacron velour, have been relatively effective in scaling the peritoneal end of the catheter. The skin or catheter exit site has been the more difficult area to manage. Most catheters require significant, and often time-consuming, exit-site care to minimize infection. This is because smooth-surfaced devices or catheters permit epidermal migration along the catheter, which typically results in a sinus tract — a gap between the catheter and the skin. This sinus provides the moist and repetitively traumatized environment in which infection with tissue invasion begins.

Keywords

Peritoneal Dialysis Transverse Incision Exit Site Dialysis Catheter Rectus Abdominis Muscle 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Daly BDT, Dasse KA, Clay W, Gould KE, Handrahan JV, Poirier VL, Cleveland RJ: Percutaneous energy transmission: Effects of tethering on system survival. In: Nose Y, Kjellstrand C, Ivanovich P (eds) Progress in Artificial Organs. Cleveland: ISAIO Press, 1986, pp 527–533.Google Scholar
  2. 2.
    Daly BDT, Dasse KA, Gould KE, Smith TJ, Bousquet GG, Poirier VL, Cleveland RJ: A new percutaneous access device for peritoneal dialysis. Trans Am Soc Artif Intern Organs 10(3):664–671, 1987.Google Scholar
  3. 3.
    Daly BDT, Szycher M, Poirier VL, Robinson WJ, Haudenschild CC, Cleveland RJ: A method of establishing permanent percutaneous energy transmission. Surgery 88:148–155, 1980.PubMedGoogle Scholar
  4. 4.
    Dasse KA, Daly BDT, Bousquet G, King D, Smith T, Mondou R, Poirier VL: A polyurethane percutaneous access device for peritoneal dialysis. Proceedings, The 8th National Conference on CAPD, 1988, in press.Google Scholar

Copyright information

© Kluwer Academic Publishers 1989

Authors and Affiliations

  • Benedict D. T. Daly
  • Kurt A. Dasse

There are no affiliations available

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