Blind peritoneal catheter placement with a tenckhoff trocar by nephrologists: A single‐center experience

Kang, Seok Hui; Young, Jun; Cho, Kyu Hyang; Park, Jong Won; Yoon, Kyung Woo

doi:10.1111/j.1440-1797.2011.01518.x

Cited by 11 publications

(17 citation statements)

References 24 publications

(34 reference statements)

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“…We, therefore, planned a study combining these techniques, omental wrapping and catheter tip migration, which cause disturbances in fluid inflow or outflow which can be minimized, to make a more clear statement about this method. We observed no significance with having compared to the literature as to the patient mortality and morbidity [6, 7, 11–17, 20–23]. Laparoscopy also permits to remedial operations such as repositioning of the catheter or dissolving the omental wrapping.…”

Section: Discussionmentioning

confidence: 65%

“…New techniques have been developed to avoid these complications and have led to increased survival rates [11–24]. These techniques include fixation of the omentum to the lateral abdominal wall (omentopexy) or omental excision and preperitoneal tunneling and pelvic fixation [13–27].…”

Section: Discussionmentioning

confidence: 99%

“…In fact, the incidence of omental wrapping, catheter displacement, and intraabdominal complications, specifically bowel and bladder perforation, is higher with these two methods [5, 9]. In particular in patients suspected of having intra-abdominal adhesions, the application of laparoscopic surgical techniques has significantly changed our surgical approach to dialysis catheter placement, but the debate on open or laparoscopic placement of PD catheters is still ongoing [5, 8, 10, 11]. Malfunction of the peritoneal catheter is a frequent complication in peritoneal dialysis and results in catheter loss.…”

Section: Introductionmentioning

confidence: 99%

“…Therefore, it is vital that the dialysis catheter tip is sited and secured accurately in the pelvis if long-term catheter function is to be achieved. This has led to improvements in laparoscopic techniques, including the preperitoneal tunneling, pelvic fixation, omentopexy, or other minimally invasive one port insertions, which aims to minimize omental wrapping and catheter dislocation [11–20]. …”

Section: Introductionmentioning

confidence: 99%

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A Modified Method in Laparoscopic Peritoneal Catheter Implantation: The Combination of Preperitoneal Tunneling and Pelvic Fixation

Güneş¹,

Uzum²,

Koc³

et al. 2013

ISRN Surgery

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Introduction. Continuous ambulatory peritoneal dialysis (CAPD) is widely accepted for the management of end-stage renal disease (ESRD). Although not as widely used as hemodialysis, CAPD has clear advantages, especially those related to patient satisfaction and simplicity. Peritoneal dialysis (PD) catheter insertion can be accomplished by several different techniques. In this study, we aimed to evaluate our results obtained with peritoneal dialysis catheter placement by combination of pelvic fixation plus preperitoneal tunneling. Material and Methods. Laparoscopic peritoneal catheter implantation by combining preperitoneal tunneling and pelvic fixation methods was performed in 82 consecutive patients with end-stage renal disease. Sex, age, primary disease etiology, complications, mean duration of surgery, mean duration of hospital stay, morbidity, mortality, and catheter survival rates and surgical technique used were assessed. Analysis of catheter survival was performed using the Kaplan-Meier method. Results. Mean follow-up period was 28.35 ± 14.5 months (range of 13–44 months). Mean operative time was 28 ± 6 minutes, and mean duration of hospital stay was 3 ± 1 days. There were no conversions from laparoscopy to other insertion methods. None of the patients developed serious complications during surgery or the postoperative period. No infections of the exit site or subcutaneous tunnel, hemorrhagic complications, abdominal wall hernias, or extrusion of the superficial catheter cuff was detected. No mortality occurred in this series of patients. Catheter survival was found to be 92% at 3 years followup. Conclusions. During one-year followup, we had seven patients of migrated catheters due to separation of pelvic fixation suture from peritoneal surface, but they were reimplanted and fixated again laparoscopically with success. Over a three-year followup period, catheter survival was found to be 92%. In the literature, similar catheter survival rates without combination of the two techniques are reported. As a conclusion, although laparoscopic placement of PD catheters avoids many perioperative and early complications, as well as increasing catheter free survival period and quality of life, our results comparing to other studies in the literature indicate that different laparoscopic placement methods are still in debate, and further studies are necessary to make a more accurate decision.

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Section: Discussionmentioning

confidence: 65%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

A Modified Method in Laparoscopic Peritoneal Catheter Implantation: The Combination of Preperitoneal Tunneling and Pelvic Fixation

Güneş¹,

Uzum²,

Koc³

et al. 2013

ISRN Surgery

View full text Add to dashboard Cite

show abstract

“…When they were asked about PD catheter insertion, only 44% answered that they were able to perform this procedure. Among them, the most commonly used technique to catheter insertion was percutaneous using a trocar device (69% of the answers) (14).…”

Section: Discussionmentioning

confidence: 99%

Percutaneous and Surgical Insertion of Peritoneal Catheter in Patients Starting in Chronic Dialysis Therapy: A Comparative Study

Chula

Campos²,

Alcântara³

et al. 2013

Seminars in Dialysis

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Percutaneous peritoneal catheter insertion can be performed by trained nephrologists. The objective of this study was to compare the outcome of peritoneal dialysis (PD) catheters percutaneous inserted with the traditional surgical technique. One hundred twenty-one PD catheters were placed in 121 stage-5 Chronic kidney disease patients using three techniques: percutaneous insertion (Group P, n = 53), percutaneous insertion guided by radioscopy (Group R, n = 26), and surgical insertion (Group S, n = 42). The mean age of the whole cohort was 57 ± 16 years and 54% were male. Patients and catheter outcomes were followed up prospectively for 19 months. Gender, age, body mass index, previous abdominal surgeries, and the prevalence of diabetes mellitus were not significantly different among the groups as well as the incidence of bleeding and the presence of catheter dysfunction. In addition, the incidence of exit-site infections and peritonitis was not significantly different among the groups. Finally, the survival catheter rate was not significantly different by the end of the follow-up of 19 months (70% in P group, 85% in R, and 70% in S group (log rank = 0.88, p = 0.95). The outcome of percutaneous implanted catheters, which were inserted by a trained nephrologist, did not demonstrate to be inferior as compared with the traditional surgical approach.

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Diagnosis and Management of Catheter Dysfunction

Öğünç

2017

Surgical Aspects of Peritoneal Dialysis

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Blind peritoneal catheter placement with a tenckhoff trocar by nephrologists: A single‐center experience

Cited by 11 publications

References 24 publications

A Modified Method in Laparoscopic Peritoneal Catheter Implantation: The Combination of Preperitoneal Tunneling and Pelvic Fixation

A Modified Method in Laparoscopic Peritoneal Catheter Implantation: The Combination of Preperitoneal Tunneling and Pelvic Fixation

Percutaneous and Surgical Insertion of Peritoneal Catheter in Patients Starting in Chronic Dialysis Therapy: A Comparative Study

Diagnosis and Management of Catheter Dysfunction

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