| Blind Peritoneal Catheter Placement with a Tenckhoff Trocar by Nephrologists: A Single-Center Experience. | |
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MedLine Citation:
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PMID: 21883673 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Background: Blind peritoneal dialysis (PD) catheter instrumentation with a Tenckhoff trocar is performed without direct visualization of the peritoneum. This method requires the least equipment, it is safe and it can be performed mainly by nephrologists. We report here on our long-term experience with this method as performed by nephrologists. Patients and Methods: We reviewed the medical records at Yeungnam University Hospital in Korea and we identified all the patients who had undergone blind PD catheter instrumentation with a Tenckhoff trocar by nephrologists. Four hundred-three patients were enrolled. Results: Early complications occurred in 7.7% (4 patients with pericatheter bleeding, 1 patient with pleural leakage, 2 patients with migration, 2 patients with omental wrapping, 3 patients with exit site/tunnel infection and 19 patients with peritonitis). The late mechanical complications included 8 cases of hernia, 3 cases of catheter extrusion, 5 cases of leakage, 4 cases of migration and 5 cases of omental wrapping. Exit site/tunnel infection and peritonitis occurred at a rate of 0.067 and 0.40 episodes/year, respectively. The intervention free survival rate was 84.5% at 1 year and 63.3% at 5 years. The catheter survival rate was 96.5% at 1 year and 83.6% at 5 years. Conclusion: This study provides evidence that blind PD catheter placement with a Tenckhoff trocar requires the least equipment, and it is easy to perform. Therefore, if the general anesthesia is impossible or equipment, such as fluoroscopy and laparoscopy, were not available, this method may be an alternative choice for PD catheter placement. |
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Authors:
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Seok Hui Kang; Jun Young Do; Kyu Hyang Cho; Jong Won Park; Kyung Woo Yoon |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-8-23 |
Journal Detail:
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Title: Nephrology (Carlton, Vic.) Volume: - ISSN: 1440-1797 ISO Abbreviation: - Publication Date: 2011 Aug |
Date Detail:
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Created Date: 2011-9-2 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9615568 Medline TA: Nephrology (Carlton) Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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© 2011 The Authors. Nephrology © 2011 Asian Pacific Society of Nephrology. |
Affiliation:
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Division of Nephrology, Department of Internal Medicine, Yeungnam University Hospital, Daegu, Korea. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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