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Modified Peritoneal Dialysis Catheter Insertion: Comparison with a Conventional Method

 Yong Kyu Lee  ;  Pil-Sung Yang  ;  Kyoung Sook Park  ;  Kyu Hun Choi  ;  Beom Seok Kim 
 YONSEI MEDICAL JOURNAL, Vol.56(4) : 981-986, 2015 
Journal Title
Issue Date
Adult ; Aged ; Catheters, Indwelling* ; Female ; Humans ; Male ; Middle Aged ; Peritoneal Dialysis/instrumentation ; Peritoneal Dialysis/methods* ; Retrospective Studies ; Surgical Instruments ; Treatment Outcome ; Urinary Catheterization/instrumentation* ; Urinary Catheterization/methods ; Young Adult
Continuous ambulatory peritoneal dialysis ; complication rate ; modified method ; nephrologists ; peritoneal catheter insertion ; trocar and cannula method
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.
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1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Beom Seok(김범석) ORCID logo https://orcid.org/0000-0002-5732-2583
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