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
Hauptverfasser: Modaghegh, Mohammad-Hadi Saeed, Kazemzadeh, Gholamhossein, Rajabnejad, Yaser, Nazemian, Fatemeh
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container_end_page 446
container_issue 4
container_start_page 443
container_title Peritoneal dialysis international
container_volume 34
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 The catheters were mechanically obstructed in 2/23 cases (8.7%); and were withdrawn due to a peritonitis in 2 cases and inadequacy of peritoneal dialysis in 1 case.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.
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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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