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peritoneal dialysis catheter insertion

Hideaki Oka, Shunsuke Yamada, Taro Kamimura, Masatoshi Hara, Yutaro Hirashima, Shumei Matsueda, Tomoya Shukuri, Seishi Aihara, Mai Koresawa, Masahiro Eriguchi, Atsumi Harada, Kazuhiko Tsuruya, Takanari Kitazono
♦ Background: Outflow obstruction, a common complication in patients with peritoneal dialysis (PD), usually results in unnecessary catheter removal or replacement. This study describes a modified simple method of anchoring a PD catheter on the anterior peritoneal wall without using a laparoscopic system (peritoneal wall anchor technique, PWAT). ♦ Methods: We performed a retrospective cohort study of consecutive PD catheter insertions, and compared the catheter survival rate between the traditional method and the modified simple PWAT...
October 13, 2016: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
Dr Charlotte Ratcliff, Miss Monica Hansrani
INTRODUCTION: This case report intends to highlight the Haemodialysis Reliable Outflow (HeRO) graft as a potential long term option for ongoing dialysis in patients with central venous stenosis. PRESENTATION OF CASE: A 55year old patient, who developed end stage renal failure (ESRF) after chemotherapy treatment for breast cancer, presented at the limit of her dialysis access after a 15year haemodialysis history causing central vein stenosis. The patient was initially started on peritoneal dialysis but after repeated peritonitis was switched to haemodialysis...
2016: International Journal of Surgery Case Reports
Usha Devi Appalsawmy, Habib Akbani
A 56-year-old man who was a Jehovah's Witness with an advanced directive against autologous procedures developed acute kidney injury needing renal replacement therapy while he was intubated and ventilated on the intensive care unit. He was being treated for hyperosmolar hyperglycaemic state. He also had a healing laparotomy wound, having undergone a splenectomy less than a month ago following a road traffic accident. His hyperkalaemia and metabolic acidosis were refractory to medical treatment. As he became oligoanuric, decision was taken to carry out acute peritoneal dialysis (PD) by inserting a Tenckhoff catheter in his abdomen using peritoneoscopic technique...
2016: BMJ Case Reports
Monika A Krezalek, Nicolas Bonamici, Brittany Lapin, JoAnn Carbray, Jose Velasco, Woody Denham, John Linn, Michael Ujiki, Stephen P Haggerty
BACKGROUND: Success of peritoneal dialysis depends on the durability of the peritoneal dialysis catheter, which in turn depends on insertion technique. Catheter-related complications are among the main reasons for peritoneal dialysis failure. Techniques showing evidence of improved catheter function include rectus sheath tunnel, selective omentopexy, and adhesiolysis. METHODS: Single-institution retrospective review of consecutive peritoneal dialysis catheter insertions was performed between 2004 and 2014...
October 2016: Surgery
R Sivaramakrishnan, S Gupta, S K Agarwal, D Bhowmik, S Mahajan
There is lack of adequate data on comparison of outcomes between percutaneously placed peritoneal dialysis (PD) catheters inserted by nephrologists and PD catheters placed by surgeons. The aim of this study is to retrospectively analyze the outcomes of PD catheters inserted by surgeons (by open surgical or laparoscopic technique) and compare them with those inserted by nephrologists among ESRD patients who underwent elective PD catheter insertions between January 2009 and December 2012. The primary outcome measure was the proportion of catheters removed because of primary nonfunction...
July 2016: Indian Journal of Nephrology
Thawatchai Tullavardhana, Prinya Akranurakkul, Withoon Ungkitphaiboon, Dolrudee Songtish
BACKGROUND: Peritoneal dialysis (PD) is an effective method of renal replacement therapy for end-stage renal disease patients. The PD catheter could be inserted by surgical (open surgery/laparoscopic-assisted) or percutaneous techniques. However, the efficacy of the techniques, including catheter survival and catheter related complications, is still controversial. METHOD: The dataset was defined by searching PubMed, EMBASE, Google Scholar and the Cochrane database that had been published until July 2014...
September 2016: Annals of Medicine and Surgery
Abdelazeem Ali Eldawlatly, Abdullah Aldohayan
No abstract text is available yet for this article.
July 2016: Saudi Journal of Anaesthesia
Gregor Novljan, Rina R Rus, Vladimir Premru, Rafael Ponikvar, Nina Battelino
When peritoneal dialysis is inapplicable, chronic hemodialysis (HD) becomes the only available treatment option in small children. Due to small patient size, central venous catheters (CVC) are mainly used for vascular access. Over the past 4 years, four children weighing less than 15 kg received chronic HD in our unit. A total of 848 dialysis sessions were performed. Altogether, 21 catheters were inserted. In all but one occasion, uncuffed catheters were used. Catheter revision was performed 15 times during the study period, either due to infection or catheter malfunction...
June 2016: Therapeutic Apheresis and Dialysis
Wen-Xian Zhang, Bo-Ying Liu, Yan-Mei Xiao, Xiao-Wei Dong, Fang Dai, Lan Wei
Methods To investigate the safety and clinical significance of the method described in this study, we focused on 16 peritoneal dialysis patients with peritoneal dialysis (PD) catheter malposition and blockage in whom nonsurgical reposition was ineffective, who received a local incision about 5 cm below hypogastrium PD catheter insertions under local anesthesia. Tissues were separated layer by layer, 1-cm incisions were performed on the peritoneum vertically and conventionally, and then the PD catheters were pulled...
2016: Internal Medicine
Qi Li, Bai Zhu, Xueyan Zhu, Chenglin Piao, Wenpeng Cui, Yangwei Wang, Jing Sun, Wenguo Chen, Lining Miao
Peritoneal lavage and dialysis is an approach to treat necrotizing acute pancreatitis as it removes dialyzable toxins and reduces severe metabolic disturbances. Successful catheter implantation is important for delivering adequate peritoneal lavage and dialysis. The aim of the present study was to describe a new modified percutaneous technique for the placement of peritoneal dialysis catheters and assess the effectiveness and safety of peritoneal lavage and dialysis used for treatment of necrotizing acute pancreatitis...
June 2016: Medicine (Baltimore)
Terry King-Wing Ma, Kai Ming Chow, Bonnie Ching-Ha Kwan, Wing Fai Pang, Chi Bon Leung, Philip Kam-Tao Li, Cheuk Chun Szeto
BACKGROUND AND OBJECTIVES: Peritonitis before peritoneal dialysis (PD) training (pretraining peritonitis [PTP]) is an uncommon event. The study aim was to examine the causative organisms, clinical outcomes, risk factors, and long-term consequences of PTP. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: In this single-center, retrospective, observational study involving all incident patients on PD who developed PTP between 1998 and 2012, we examined the causative organisms, primary response rate, complete cure rate, risk factors, and associations of PTP with peritoneal equilibration test (PET) and patient survival...
July 7, 2016: Clinical Journal of the American Society of Nephrology: CJASN
Alan Pan, Mun J Poi, Jesus Matos, Jenny S Jiang, Elias Kfoury, Angela Echeverria, Carlos F Bechara, Peter H Lin
INTRODUCTION: Laparoscopic insertion of peritoneal dialysis (PD) catheter has become a preferred method compared to the traditional open technique for PD catheter insertion. We retrospectively report the outcome of 1-port laparoscopic placement PD catheters in our institution. METHODS: A total of 263 patients with end-stage renal disease who underwent single-trocar laparoscopic PD catheter insertion during a recent 6-year period were reviewed. Laparoscopic technique involves introducing a PD catheter over a stiff guidewire into the abdominal cavity through a 10-mm laparoscopic port...
July 2016: Vascular and Endovascular Surgery
Daryl S Henshaw, Matthew L Baker, Robert S Weller, Jon Wellington Reynolds, Jonathan Douglas Jaffe
STUDY OBJECTIVE: The primary goal of this study was to determine whether transversus abdominis plane (TAP) blocks were effective as the primary anesthetic technique for insertion and/or removal of peritoneal dialysis catheters. DESIGN: This study is a descriptive case series investigation. SETTING: Operating rooms at a tertiary care academic medical center. PATIENTS: Twenty-four patients, American Society of Anesthesiologists (ASA) physical status 3 and 4, were included in this study...
June 2016: Journal of Clinical Anesthesia
Ünal Bıçakcı, Gürkan Genç, Burak Tander, Mithat Günaydın, Dilek Demirel, Ozan Özkaya, Rıza Rızalar, Ender Arıtürk, Ferit Bernay
INTRODUCTION: The aim of this study was to evaluate patients with end stage renal failure (ESRD) who underwent chronic peritoneal dialysis (CPD). The clinical outcomes of laparoscopic and open placements of catheters were compared. MATERIALS AND METHODS: We reviewed 49 (18 male and 31 female) children with CPD according to age, sex, cause of ESRD, catheter insertion method, kt/V rate, complications, presence of peritonitis, catheter survival rate between January 2002 and February 2014...
April 2016: Journal of Minimal Access Surgery
Amir Keshvari, Mohammad Reza Keramati, Mohammad Reza Nassajian, Mehrzad Mohsenipour, Mohammad Kazem Nouritaromlou
BACKGROUND: Using a proper laparoscopic trocar for making a downward rectus sheet tunneling (RSHT) during the implementation of peritoneal dialysis (PD) catheters leads to a longer survival of catheter and less catheter dysfunction. As no specific laparoscopic trocar has been invented for insertion of PD catheters, we designed a new trocar. In this article, we describe specifications of our new invented trocar for the first time. We will describe our experience with it in our patients as well...
April 8, 2016: Surgical Endoscopy
Mei-Fen Pai, Ju-Yeh Yang, Hung-Yuan Chen, Shih-Ping Hsu, Yen-Ling Chiu, Hon-Yen Wu, Wan-Chuan Tsai, Yu-Seng Peng
AIM: The aim of this study was to compare peritonitis rates, peritoneal dialysis technique survival and patient survival between patients who started peritoneal dialysis earlier than 14 days (early starters) and 14 days or more (delayed starters) after insertion of a Tenckhoff catheter. METHODS: Observational analysis was performed for all patients who underwent insertion of a Tenckhoff catheter at Far Eastern Memorial Hospital between 1 January 2006 and 31 December 2012...
July 2016: Renal Failure
Ninoo George, Suceena Alexander, Vinoi G David, Gopal Basu, Anjali Mohapatra, Anna T Valson, Shibu Jacob, Harish K Pathak, Antony Devasia, Veerasamy Tamilarasi, Santosh Varughese
♦ Background: There are no large studies that have examined ultra-short break-in period with a blind, bedside, midline approach to Tenckhoff catheter insertion.♦ Methods: Observational cohort study of 245 consecutive adult patients who underwent percutaneous catheter insertion for chronic peritoneal dialysis (PD) at our center from January 2009 to December 2013. There were 132 (53.9%) diabetics and 113 (46.1%) non-diabetics in the cohort.♦ Results: The mean break-in period for the percutaneous group was 2...
April 4, 2016: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
Stéphanie Laperrousaz, Valérie Jotterand Drepper
Peritoneal dialysis is a dialysis modality used worldwide. Despite offering several advantages, its prevalence in Switzerland in end stage renal disease population is dramatically lower than hemodialysis (7.3% vs 92.7% in 2014) although its incidence has recently progressed. Technically, a catheter is inserted into the Douglas' pouch, enabling dialysate to be infused into the peritoneal cavity. The peritoneum acts as a semi-permeable membrane allowing for the removal of toxic substances and excess water. In the following article we will give an overview of peritoneal dialysis including its technical modalities, indications and main advantages as well as its contraindications and complications...
February 24, 2016: Revue Médicale Suisse
Yunhuan Tian, Sheng Feng, Zhoubing Zhan, Ying Lu, Yancai Wang, Shan Jiang, Kai Song, Huaying Shen
OBJECTIVE: Patients with end-stage renal disease are susceptible to cardiac valve calcification (CVC) due to mineral metabolism disorders and other factors. The purpose of this study was to investigate the risk factors for new-onset CVC in patients on maintenance peritoneal dialysis (PD). METHODS: This study included patients who underwent PD catheter insertion from January 2006 to June 2013 in our Peritoneal Dialysis Center. Clinical data were collected on CVC status during echocardiography evaluations (twice) at an interval of >6 months...
February 2016: Cardiorenal Medicine
Qing Qiao, Leting Zhou, Kun Hu, Deyu Xu, Lin Li, Guoyuan Lu
OBJECTIVE: The objective of this study is to compare the catheter-related complications as well as catheter survival between laparoscopic and traditional surgery in peritoneal dialysis catheter insertion. RESULTS: Five randomized controlled trials and 11 cohort studies were identified. Meta-analysis showed laparoscopic catheter is superior to traditional surgery in terms of controlling catheter migration (OR 0.17, 95% CI 0.08-0.33; p < 0.00001) and catheter survival rate (1-year survival rate: OR 3...
June 2016: Renal Failure
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