The Choice of Peritoneal Dialysis Catheter Implantation Technique by Nephrologists

Peritoneal dialysis catheter (PDC) is the lifeline of peritoneal dialysis (PD) patients. One of the critical issues for successful PD is a well-functioning PDC which is timely inserted. It is the implantation technique rather than the catheter design that determines the outcome of the catheter. Dedication in acquiring the appropriate technique is vital to the success of a PD program. In this paper, we discuss the pros and cons of various techniques used for PDC implantation. A detailed description of PDC implantation by using the minilaparotomy method is presented. We strongly recommend mini-laparotomy as the method of choice for PDC implantation by nephrologists.

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Significance, Epidemiology, and Prevention of Peritoneal Dialysis Catheter Infections

Peritoneal Dialysis International ◽

10.1177/089686089601601s66 ◽

1996 ◽

Vol 16 (1_suppl) ◽

pp. 340-347 ◽

Cited By ~ 11

Author(s):

John M. Burkart

Keyword(s):

Patient Outcome ◽

Peritoneal Dialysis ◽

Preventive Measures ◽

Implantation Technique ◽

Peritoneal Dialysis Catheter ◽

Dialysis Catheter ◽

Exit Site ◽

Catheter Design ◽

Intranasal Mupirocin ◽

Catheter Infections

Catheter infections are a major cause of morbidity, catheter loss, and transfer to hemodialysis. These infections are mainly due to S. aureus. To date, treatment is less than optimal. Therefore, the primary goal should be prevention of catheter infections. Prevention is based on improving catheter design and implantation technique while using careful exit-site care. Prophylaxis with antimicrobials such as intranasal mupirocin or the use of silverimpregnated catheters appears promising as a way to reduce the risk of developing S. aureus infections. To optimize patient outcome, one must focus on these preventive measures.

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Comparison of Early Complications after Peritoneal Dialysis Catheter Implantation by Laparoscopic Surgery and Conventional Surgery in Children

Journal of the Korean Society of Pediatric Nephrology ◽

10.3339/jkspn.2007.11.1.51 ◽

2007 ◽

Vol 11 (1) ◽

pp. 51 ◽

Cited By ~ 2

Author(s):

Soo In Jeong ◽

Hyun Young Lee ◽

Cheol Gu Lee ◽

Jeong-Meen Seo ◽

Suk-Koo Lee ◽

...

Keyword(s):

Peritoneal Dialysis ◽

Laparoscopic Surgery ◽

Peritoneal Dialysis Catheter ◽

Dialysis Catheter ◽

Early Complications ◽

Conventional Surgery ◽

Catheter Implantation

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Dual-Incision Laparoscopic Surgery for Peritoneal Dialysis Catheter Implantation and Fixation: A Novel, Simple, and Safe Procedure

Journal of Laparoendoscopic & Advanced Surgical Techniques ◽

10.1089/lap.2013.0156 ◽

2013 ◽

Vol 23 (8) ◽

pp. 673-678 ◽

Cited By ~ 4

Author(s):

Chun-Nan Yeh ◽

Chien-Hung Liao ◽

Yu-Yin Liu ◽

Chi-Tung Cheng ◽

Shang-Yu Wang ◽

...

Keyword(s):

Peritoneal Dialysis ◽

Laparoscopic Surgery ◽

Peritoneal Dialysis Catheter ◽

Safe Procedure ◽

Dialysis Catheter ◽

Catheter Implantation ◽

Dual Incision

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A New Titanium Fiber Mesh-Cuffed Peritoneal Dialysis Catheter: Evaluation and Comparison with a Dacron-Cuffed Tenckhoff Catheter in Goats

Peritoneal Dialysis International ◽

10.1177/089686080102100305 ◽

2001 ◽

Vol 21 (3) ◽

pp. 254-262 ◽

Cited By ~ 20

Author(s):

Frank Walboomers ◽

Yvonne C.G.J. Paquay ◽

John A. Jansen

Keyword(s):

Peritoneal Dialysis ◽

Inflammatory Response ◽

Tissue Response ◽

Peritoneal Dialysis Catheter ◽

Dialysis Catheter ◽

Sintered Titanium ◽

Catheter Design ◽

Dacron Velour ◽

The Common ◽

Fiber Mesh

Objective We report the development of a new peritoneal dialysis catheter. The purpose of the current study was to evaluate tissue response to this catheter. Design In our catheter design, the catheter's cuffs are made from sintered titanium fiber mesh instead of the common Dacron material. The catheters were implanted in goats. During the study period, the catheter exit sites were observed once every 2 weeks. After 14 weeks, the catheters and surrounding tissues were processed for histology and analyzed. Results We observed that catheters with titanium cuffs performed significantly better, compared with a commercial catheter design. Histology showed that titanium fibers evoked a lesser inflammatory response compared with Dacron fibers. In addition, the capsule surrounding the titanium cuff was significantly thinner. Conclusions Supported by the obtained results, we conclude that the use of Dacron velour for anchorage of percutaneous catheters has to be reconsidered. Titanium fiber mesh has a great potential for application in percutaneous catheters.

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