SAGES peritoneal dialysis access guideline update 2023

Haggerty, Stephen P.; Kumar, Sunjay S.; Collings, Amelia T.; Alli, Vamsi V.; Miraflor, Emily; Hanna, Nader M.; Athanasiadis, Dimitrios I.; Morrell, David J.; Ansari, Mohammed T.; Abou-Setta, Ahmed; Walsh, Danielle; Stefanidis, Dimitrios; Slater, Bethany J.

doi:10.1007/s00464-023-10550-8

Cited by 2 publications

(1 citation statement)

References 118 publications

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“…Therefore, numerous refinements have been proposed based on the classic laparoscopic surgery method [ 13–16 ]. The 2023 PD access guideline has also recommended the use of advanced and improved laparoscopic insertion techniques under appropriate conditions [ 17 ]. To our knowledge, few studies have provided a detailed introduction to PDC placement using abdominal suture passer and two-port laparoscopy, which can simultaneously reduce surgical trauma and catheter migration.…”

Section: Discussionmentioning

confidence: 99%

Suture passer combined with two-hole laparoscopic peritoneal dialysis catheterization in patients undergoing peritoneal dialysis

Zhu,

Xin,

Man

et al. 2024

Renal Failure

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Background Laparoscopic techniques are being widely applied for peritoneal dialysis (PD) catheter (PDC) placement. The suture passer is a novel fixation tool that aims to reduce catheter migration. We compared the clinical value of the suture passer combined with two-hole laparoscopic PDC placement to open surgical placement by evaluating preoperative and postoperative conditions, as well as the onset of complications in both groups. Methods A retrospective study was conducted including 169 patients who underwent PDC placement surgery from January 2021 to May 2023. Based on the method employed, patients were divided into two groups: the suture passer combined with a two-hole laparoscopy group (SLG) and the open surgical group (SG). Comprehensive patient information, including general data, preoperative and postoperative indicators, peritoneal function after surgery, and the incidence rate of complications, were collected and analyzed. Results The SLG showed a statistically significant decrease in operative time, intraoperative blood loss, and 6-month postoperative drift rate compared to the SG ( p < 0.05). No statistically significant differences were observed between the two groups in terms of sex, age, primary disease, hospitalization time, hospitalization costs, preoperative and postoperative examination indicators, peritonitis, and omental wrapping. Conclusions Suture passer combined with two-hole laparoscopic PDC placement, characterized by simplicity and facilitating secure catheter fixation, was deemed safe and effective for patients undergoing PD. It reduces the catheter migration rate and improved surgical comfort. Overall, this technique demonstrates favorable outcomes in clinical practice.

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Section: Discussionmentioning

confidence: 99%

Suture passer combined with two-hole laparoscopic peritoneal dialysis catheterization in patients undergoing peritoneal dialysis

Zhu,

Xin,

Man

et al. 2024

Renal Failure

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Management and Outcomes for Peritoneal Dialysis Patients Diagnosed with Abdominal Hernias

Iorga,

Andreiana

et al. 2024

Life

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Background/Objectives: The success of peritoneal dialysis is highly dependent on the integrity of the abdominal wall. Therefore, routine examination and treatment of abdominal hernias can prevent peritoneal dialysis (PD) failure, discontinuation, and conversion to hemodialysis. In this present study, we present our examination protocol for patients proposed for PD and our attitude in treating parietal defects in patients on peritoneal dialysis. Objectives: highlight whether PD is a risk factor for the occurrence of ventral hernias, the relationship between associated pathologies and the occurrence of hernias and the need for an HD switch in the postoperative period. Methods: Between January 2016 and December 2022, a group of 133 patients proposed for insertion of a PD catheter were evaluated according to the protocol established by our hospital. Routine examination for the diagnosis of abdominal hernias and repair before starting the DP is part of the procedure. We included patients with a 3 year minimum follow-up after insertion and evaluated the incidence of parietal defects that appeared during PD treatment. Results: Nine patients were diagnosed and operated on for abdominal hernia before starting peritoneal dialysis and none of them had a recurrence of hernia during PD. Twelve patients were diagnosed with abdominal hernias during dialysis treatment (9% incidence) and the median length of time at which parietal defects occur during PD is 12.5 months [range 2–48]. Median BMI is 27.12 [range 22.3–31.24], with a female–male ratio of 2:1 Five patients were transferred to HD, three permanently and two patients temporarily. No patient abandoned PD treatment due to the presence of an abdominal parietal defect. Conclusions: Diagnosis of ventral hernias prior to the time of catheterization for PD leads to a decrease in the incidence of parietal defects during PD and is mandatory in patients who are candidates for PD. Open alloplastic surgical procedures are safe procedures with a low recurrence rate in PD patients. The postoperative continuation of PD is feasible but the decision is to be made by the multidisciplinary team and individualized for each patient.

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SAGES peritoneal dialysis access guideline update 2023

Cited by 2 publications

References 118 publications

Suture passer combined with two-hole laparoscopic peritoneal dialysis catheterization in patients undergoing peritoneal dialysis

Suture passer combined with two-hole laparoscopic peritoneal dialysis catheterization in patients undergoing peritoneal dialysis

Management and Outcomes for Peritoneal Dialysis Patients Diagnosed with Abdominal Hernias

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