Preperitoneal tunneling-a novel technique in peritoneal dialysis catheter insertion
This study describes a new preperitoneal tunneling (PPT) method for inserting a peritoneal dialysis catheter (PDC), thereby lessening surgical complications and increasing the catheter's survival. This new technique was used in 23 cases from December 2005 to January 2007 and followed up until M...
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Veröffentlicht in: | Peritoneal dialysis international 2014-06, Vol.34 (4), p.443-446 |
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creator | Modaghegh, Mohammad-Hadi Saeed Kazemzadeh, Gholamhossein Rajabnejad, Yaser Nazemian, Fatemeh |
description | This study describes a new preperitoneal tunneling (PPT) method for inserting a peritoneal dialysis catheter (PDC), thereby lessening surgical complications and increasing the catheter's survival.
This new technique was used in 23 cases from December 2005 to January 2007 and followed up until March 2011 (63 months). The procedure was performed laparoscopically under local (16 cases) or general (7 cases) anesthesia by one surgeon. Catheter survival is reported by Kaplan-Meyer analysis.
The catheters were mechanically obstructed in 2/23 cases (8.7%); and were withdrawn due to a peritonitis in 2 cases and inadequacy of peritoneal dialysis in 1 case. Ten patients received kidney transplantation and six died before completing this follow-up period. The patients still reaped the benefits of the PDC until receiving a kidney transplant or death. The 5-year survival rate of the catheter was 89%. No incidence of catheter migration, omental wrapping, herniation or leakage was noticed.
Preperitoneal tunneling is a simple and safe method for insertion of PDC, and can effectively prevent catheter migration, dislocation and omental wrapping. |
doi_str_mv | 10.3747/pdi.2011.00311 |
format | Article |
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This new technique was used in 23 cases from December 2005 to January 2007 and followed up until March 2011 (63 months). The procedure was performed laparoscopically under local (16 cases) or general (7 cases) anesthesia by one surgeon. Catheter survival is reported by Kaplan-Meyer analysis.
The catheters were mechanically obstructed in 2/23 cases (8.7%); and were withdrawn due to a peritonitis in 2 cases and inadequacy of peritoneal dialysis in 1 case. Ten patients received kidney transplantation and six died before completing this follow-up period. The patients still reaped the benefits of the PDC until receiving a kidney transplant or death. The 5-year survival rate of the catheter was 89%. No incidence of catheter migration, omental wrapping, herniation or leakage was noticed.
Preperitoneal tunneling is a simple and safe method for insertion of PDC, and can effectively prevent catheter migration, dislocation and omental wrapping.</description><identifier>ISSN: 0896-8608</identifier><identifier>EISSN: 1718-4304</identifier><identifier>DOI: 10.3747/pdi.2011.00311</identifier><identifier>PMID: 24385332</identifier><language>eng</language><publisher>United States: Multimed Inc</publisher><subject>Adolescent ; Adult ; Aged ; Catheterization - methods ; Catheters, Indwelling ; Female ; Follow-Up Studies ; Humans ; Laparoscopy - methods ; Male ; Middle Aged ; Original ; Peritoneal Dialysis - methods ; Prospective Studies ; Survival Rate ; Young Adult</subject><ispartof>Peritoneal dialysis international, 2014-06, Vol.34 (4), p.443-446</ispartof><rights>Copyright © 2014 International Society for Peritoneal Dialysis.</rights><rights>Copyright © 2014 International Society for Peritoneal Dialysis 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c390t-104acb3fd852e77a96f450a8b689cd8c9e521475074ce2059b63f69567a2041b3</citedby><cites>FETCH-LOGICAL-c390t-104acb3fd852e77a96f450a8b689cd8c9e521475074ce2059b63f69567a2041b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4079491/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4079491/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24385332$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Modaghegh, Mohammad-Hadi Saeed</creatorcontrib><creatorcontrib>Kazemzadeh, Gholamhossein</creatorcontrib><creatorcontrib>Rajabnejad, Yaser</creatorcontrib><creatorcontrib>Nazemian, Fatemeh</creatorcontrib><title>Preperitoneal tunneling-a novel technique in peritoneal dialysis catheter insertion</title><title>Peritoneal dialysis international</title><addtitle>Perit Dial Int</addtitle><description>This study describes a new preperitoneal tunneling (PPT) method for inserting a peritoneal dialysis catheter (PDC), thereby lessening surgical complications and increasing the catheter's survival.
This new technique was used in 23 cases from December 2005 to January 2007 and followed up until March 2011 (63 months). The procedure was performed laparoscopically under local (16 cases) or general (7 cases) anesthesia by one surgeon. Catheter survival is reported by Kaplan-Meyer analysis.
The catheters were mechanically obstructed in 2/23 cases (8.7%); and were withdrawn due to a peritonitis in 2 cases and inadequacy of peritoneal dialysis in 1 case. Ten patients received kidney transplantation and six died before completing this follow-up period. The patients still reaped the benefits of the PDC until receiving a kidney transplant or death. The 5-year survival rate of the catheter was 89%. No incidence of catheter migration, omental wrapping, herniation or leakage was noticed.
Preperitoneal tunneling is a simple and safe method for insertion of PDC, and can effectively prevent catheter migration, dislocation and omental wrapping.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Catheterization - methods</subject><subject>Catheters, Indwelling</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Laparoscopy - methods</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Original</subject><subject>Peritoneal Dialysis - methods</subject><subject>Prospective Studies</subject><subject>Survival Rate</subject><subject>Young Adult</subject><issn>0896-8608</issn><issn>1718-4304</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkFtLwzAUx4Mobsy9-ij9Aq0nTZrLiyDDGwwU1OeQpqdboEtn2g327e2cjvl04H878CPkmkLGJJe368pnOVCaATBKz8iYSqpSzoCfkzEoLVIlQI3ItOt8CZxrwblUl2SUc6YKxvIxeX-LuMbo-zagbZJ-EwI2PixSm4R2i4OCbhn81wYTH5KTZOVts-t8lzjbL7HHOPgdxt634Ypc1LbpcPp7J-Tz8eFj9pzOX59eZvfz1DENfUqBW1eyulJFjlJaLWpegFWlUNpVymkscsplAZI7zKHQpWC10IWQNgdOSzYhd4fd9aZcYeUw9NE2Zh39ysadaa03_53gl2bRbg0Hqbmmw0B2GHCx7bqI9bFLwewJm4Gw2RM2P4SHws3px2P8jyf7BnqneZU</recordid><startdate>20140601</startdate><enddate>20140601</enddate><creator>Modaghegh, Mohammad-Hadi Saeed</creator><creator>Kazemzadeh, Gholamhossein</creator><creator>Rajabnejad, Yaser</creator><creator>Nazemian, Fatemeh</creator><general>Multimed Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>5PM</scope></search><sort><creationdate>20140601</creationdate><title>Preperitoneal tunneling-a novel technique in peritoneal dialysis catheter insertion</title><author>Modaghegh, Mohammad-Hadi Saeed ; Kazemzadeh, Gholamhossein ; Rajabnejad, Yaser ; Nazemian, Fatemeh</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c390t-104acb3fd852e77a96f450a8b689cd8c9e521475074ce2059b63f69567a2041b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Catheterization - methods</topic><topic>Catheters, Indwelling</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Laparoscopy - methods</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Original</topic><topic>Peritoneal Dialysis - methods</topic><topic>Prospective Studies</topic><topic>Survival Rate</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Modaghegh, Mohammad-Hadi Saeed</creatorcontrib><creatorcontrib>Kazemzadeh, Gholamhossein</creatorcontrib><creatorcontrib>Rajabnejad, Yaser</creatorcontrib><creatorcontrib>Nazemian, Fatemeh</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Peritoneal dialysis international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Modaghegh, Mohammad-Hadi Saeed</au><au>Kazemzadeh, Gholamhossein</au><au>Rajabnejad, Yaser</au><au>Nazemian, Fatemeh</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Preperitoneal tunneling-a novel technique in peritoneal dialysis catheter insertion</atitle><jtitle>Peritoneal dialysis international</jtitle><addtitle>Perit Dial Int</addtitle><date>2014-06-01</date><risdate>2014</risdate><volume>34</volume><issue>4</issue><spage>443</spage><epage>446</epage><pages>443-446</pages><issn>0896-8608</issn><eissn>1718-4304</eissn><abstract>This study describes a new preperitoneal tunneling (PPT) method for inserting a peritoneal dialysis catheter (PDC), thereby lessening surgical complications and increasing the catheter's survival.
This new technique was used in 23 cases from December 2005 to January 2007 and followed up until March 2011 (63 months). The procedure was performed laparoscopically under local (16 cases) or general (7 cases) anesthesia by one surgeon. Catheter survival is reported by Kaplan-Meyer analysis.
The catheters were mechanically obstructed in 2/23 cases (8.7%); and were withdrawn due to a peritonitis in 2 cases and inadequacy of peritoneal dialysis in 1 case. Ten patients received kidney transplantation and six died before completing this follow-up period. The patients still reaped the benefits of the PDC until receiving a kidney transplant or death. The 5-year survival rate of the catheter was 89%. No incidence of catheter migration, omental wrapping, herniation or leakage was noticed.
Preperitoneal tunneling is a simple and safe method for insertion of PDC, and can effectively prevent catheter migration, dislocation and omental wrapping.</abstract><cop>United States</cop><pub>Multimed Inc</pub><pmid>24385332</pmid><doi>10.3747/pdi.2011.00311</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adolescent Adult Aged Catheterization - methods Catheters, Indwelling Female Follow-Up Studies Humans Laparoscopy - methods Male Middle Aged Original Peritoneal Dialysis - methods Prospective Studies Survival Rate Young Adult |
title | Preperitoneal tunneling-a novel technique in peritoneal dialysis catheter insertion |
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