A Simple Tenckhoff Catheter Placement Technique for Continuous Ambulatory Peritoneal Dialysis (CAPD) Using the Bandung Method

Abstract

Insertion of Tenckhoff catheters for continuous ambulatory peritoneal dialysis by nephrologists remains uncommon in most developing countries, including Indonesia. The aim of this study is to describe our experience on a simple technique of Tenckhoff catheter insertion by a nephrologist called the Bandung method. We conducted a retrospective observational study from May 2012 until December 2018 in 230 patients with end-stage renal disease using the Bandung method, a blind percutaneous insertion approach modified from the Seldinger technique. Early complications after insertion were assessed. The mean age of patients was 47.28 years (range 14–84 years). Within 1 month after insertion, complications occurred in 34 patients: 13 (5.7%) malposition, 8 (3.5%) omental trapping, 6 (2.6%) outlow failure, 3 (1.3%) peritonitis, 1 (0.4%) catheter infections, 1 (0.4%) bleeding, 1 (0.4%) kinking, and 1 (0.4%) hernia. None of these complications led to catheter removal. One patient experienced a late (>1 month) post-insertion complication of malposition that could not be repositioned and led to catheter removal. The Bandung method is a simple, cost effective, and minimally invasive technique for Tenckhoff catheter insertion that is associated with the same rate of complications compared to other techniques. This technique may useful for application in developing countries.

Pos-708 Time on Therapy in Automated Peritoneal Dialysis Patients With and Without Remote Monitoring Program: A Propensity Score Matching Cohort Study

“…SHEDHA, BA* 1 , Barbouch, S 2 , Najjar, M 2 , Ben Hmida, F 3 , Abderrahim, E 2 1 Charles Nicoles Hospital -Laboratory of renal pathology LR00SP01, medecine A, Tunis, Tunisia; 2 Charles Nicolle Hospital, Department of medecine A, Tunis, Tunisia, 3 Charles Nicolle Hospital -Laboratory of renal pathology LR00SP01, Department of medecine A, Tunis, Tunisia Introduction: Peritoneal dialysis (PD) is a treatment for kidney failure. It allow a better autonomy for the patients with end stage renal failure.…”

“…Indonesian Renal Registry (IRR) shows the number of CKD patients undergoing Peritoneal Dialysis (PD) in Indonesia increased (2,105 patients in 2018). 1 Peritoneal dialysis (PD) is a well-established modality of renal replacement therapy. The PD is a relatively simple technique that can be done alone at home, can also reduce transportation costs to dialysis centers, and is very suitable for patients with hemodynamic problems or with certain conditions.…”

“…There is the modification of Seldinger technique, that is called Bandung Method. 1 The aim of this study showed the clinical advantages of Tenckhoff catheter insertion using Bandung technique. Methods: We conducted a retrospective cohort study included data of all CAPD patients with Tenckhoff catheter insertion using Bandung Method through May 2012 until September 2015 in Hasan Sadikin and Habibie Hospital, Bandung, Indonesia.…”

“…Less pericatheter leakage and a shorter break-in period in the Bandung method might be caused by fascia suturing over rectus abdominis. 1 Bleeding is a common early complication, especially in patients subjected to long subcutaneous tunneling. 2 Only 2 patients of bleeding occurred among our patients and lower than other studies.…”