Modified Peritoneal Dialysis Catheter Insertion: Comparison with a Conventional Method.
10.3349/ymj.2015.56.4.981
- Author:
Yong Kyu LEE
1
;
Pil Sung YANG
;
Kyoung Sook PARK
;
Kyu Hun CHOI
;
Beom Seok KIM
Author Information
1. Department of Internal Medicine, NHIC, Ilsan Hospital, Goyang, Korea.
- Publication Type:Original Article ; Comparative Study ; Research Support, Non-U.S. Gov't
- Keywords:
Continuous ambulatory peritoneal dialysis;
peritoneal catheter insertion;
nephrologists;
modified method;
trocar and cannula method;
complication rate
- MeSH:
Adult;
Aged;
*Catheters, Indwelling;
Female;
Humans;
Male;
Middle Aged;
Peritoneal Dialysis/instrumentation/*methods;
Retrospective Studies;
Surgical Instruments;
Treatment Outcome;
Urinary Catheterization/*instrumentation/methods;
Young Adult
- From:Yonsei Medical Journal
2015;56(4):981-986
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
