Coiled Tenchoff Catheter Insertion For CAPD Using Open Dissection Technique By Nephrologists-A Single Center Experience

2012 ◽  
Vol 23 (2) ◽  
pp. 20
Author(s):  
Sham Sundar ◽  
K. Venkataramanan ◽  
Himanshu Verma ◽  
Himanshu Mahapatra ◽  
J. Rajesh ◽  
...  
Author(s):  
Dimple Sahni ◽  
Rajwant Kaur ◽  
Gagandeep Kaur ◽  
Sangeeta Aggarwal ◽  
Sanjeev Bhagat

<p class="abstract"><strong>Background:</strong> Foreign bodies in aerodigestive tract is common, frequent, and sometime life threatening emergency for otorhinolaryngologists mainly in the paediatric group. The aims of the present study was to find the incidence of foreign bodies, in relation to demographic factors, type and sites of foreign bodies its clinical presentations and its management.</p><p class="abstract"><strong>Methods:</strong> A prospective study was conducted on 100 cases coming to the ear, nose and throat (ENT) emergency and outpatient department (OPD). After thorough history, clinical examination, routine blood and urine investigations and urine done. Radiological examination was done to visualize the radio-opaque foreign body, and if the foreign body was not radio-opaque then computed tomography (CT) scan was done.  </p><p class="abstract"><strong>Results:</strong> Incidence of foreign was 67% in male than 33% in female. Mostly foreign bodies were in nose (49%), followed by oesophageal (31%), abdominal (14%), and bronchus (6%) respectively. 33% were totally asymptomatic, 25% with mucupurulent discharge from nose, dysphagia (16%), nasal obstruction (15%), and odynophagia (11%) respectively. Most of the foreign bodies were inorganic in nature, coin (42%), pearls (8.16%), and battery (6.45%). Among organic foreign bodies peanut was most common (33.33%), grains (10%). All foreign bodies were removed successfully with minimal morbidity and zero mortality.</p><p class="abstract"><strong>Conclusions:</strong> Present study suggested incidence was very common among male children, in rural background, with common asymptomatic presentation. With high index of suspicion, and proper and timely intervention all 100 cases were managed successfully. But still educating the parents about keeping such things away from kids prevent these incident.</p>


2019 ◽  
Vol 4 (7) ◽  
pp. S339
Author(s):  
X. SZE ◽  
W.S. Cheong ◽  
H.S. P'ng ◽  
Y.L. Tye ◽  
J. Mohd Idris

2010 ◽  
Vol 30 (5) ◽  
pp. 524-527 ◽  
Author(s):  
Kai Ming Chow ◽  
Cheuk Chun Szeto ◽  
Chi Bon Leung ◽  
Bonnie Ching Ha Kwan ◽  
Wing Fai Pang ◽  
...  

BackgroundThe practice of Tenckhoff catheter insertion by nephrologists remains uncommon in most countries.MethodsWe report our single-center experience of Tenckhoff catheter insertion by nephrologists using the open dissection surgical technique in a dedicated ward-based procedure room.ResultsBetween November 2005 and September 2008, 250 peritoneal catheters were inserted by 6 nephrologists with varying levels of experience. Surgical dissection followed by exposure of the peritoneum under direct vision was performed under local anesthesia. Primary catheter failure, as defined by catheters that failed to function within 1 month after insertion, occurred in 2.8% of cases. Within 1 month of catheter insertion, 20 patients developed infectious complications: 9 (3.6%) peritonitis, and 11 (4.4%) exit-site infections; none of these complications led to catheter removal. Mean technique survival for the catheters was 41.2 months (95% confidence interval: 39.5 months to 42.9 months). Catheter survival rates at 1 and 2 years were 92.7% and 87.2% respectively.ConclusionsWe reported an encouraging outcome for Tenckhoff catheters inserted by nephrologists in an open surgical manner, with a 2-year catheter survival of 87.2% and a good safety profile.


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