Modified Peritoneal Dialysis Catheter Insertion: Comparison with a Conventional Method
نویسندگان
چکیده
PURPOSE The conventional trocar and cannula method in peritoneal dialysis (PD) catheter insertion has its limitation in clinical setting. The aim of this study was to compare a modified method for percutaneous PD catheter insertion with the conventional method, and demonstrate advantages of the modified method. MATERIALS AND METHODS Patients at a single center who had percutaneous PD catheters inserted by nephrologists from January 2006 until September 2012, using either a modified method (group M) or the conventional trocar and cannula method (group C), were retrospectively analyzed, in terms of baseline characteristics, complications experienced up to 3 months after the procedure, and the suitability of the procedure for patients. RESULTS Group M included 82 subjects, while group C included 66 cases. The overall early complication rate in group M (1.2%) was significantly lower than that in group C (19.7%) (p<0.001). The catheter revision rate during timeframe for early complications was significantly lower in group M (0%) than in group C (6.1%) (p=0.024). When comparing Procedure time (1 h 3 min±16 min vs. 1 h 36 min±19 min, p<0.01), immediate post-procedural pain (2.43±1.80 vs. 3.14±2.07, p<0.05), and post-procedure days until ambulation (3.95±1.13 days vs. 6.17±1.34 days, p<0.01), group M was significantly lower than group C. There was no significant difference in total hospitalization period (14.71±7.05 days vs. 13.86±3.7 days). CONCLUSION Our modified PD catheter insertion method shows its advantages in early complication rate, early complications revision rate, and the patients' conveniences.
منابع مشابه
Comparison of Modified Suture less Peritoneal Dialysis Catheter Placement with Conventional Technique: A Prospective Study
b) We found 23 (46.93%) episodes of peritonitis in conventional group and 6 (12.5%) episodes after modified percutaneous insertion (p value<0.05). Twenty episodes (41.67%) of catheter migration were observed in modified method and 3 episodes (6.122%) in conventional method (p value<0.05) but with significantly better CAPD duration (21.43+11.69 v/s 15.89+9.01) and significantly lesser incidences...
متن کاملComparison of Modified Sutureless Peritoneal Dialysis Catheter Placement with Conventional Technique: A Prospective Study
b) We found 23 (46.93%) episodes of peritonitis in conventional group and 6 (12.5%) episodes after modified percutaneous insertion (p value<0.05). Twenty episodes (41.67%) of catheter migration were observed in modified method and 3 episodes (6.122%) in conventional method (p value<0.05) but with significantly better CAPD duration (21.43+11.69 v/s 15.89+9.01) and significantly lesser incidences...
متن کاملComparison of Modified Sutureless Peritoneal Dialysis Catheter Placement with Conventional Technique: A Prospective Study
b) We found 23 (46.93%) episodes of peritonitis in conventional group and 6 (12.5%) episodes after modified percutaneous insertion (p value<0.05). Twenty episodes (41.67%) of catheter migration were observed in modified method and 3 episodes (6.122%) in conventional method (p value<0.05) but with significantly better CAPD duration (21.43+11.69 v/s 15.89+9.01) and significantly lesser incidences...
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