scholarly journals CLINICAL EVALUATION OF TENCKHOFF CATHETER INSERTION IN PAEDIATRIC PERITONEAL DIALYSIS : A SINGLE CENTER STUDY

2021 ◽  
Vol 28 (2) ◽  
pp. 153-157
Author(s):  
Syahdat Nurkholiq ◽  
Tanaya Ghinorawa
Keyword(s):  
Renal Failure ◽  
Peritoneal Dialysis ◽  
General Hospital ◽  
Kidney Failure ◽  
Open Surgery ◽  
Chronic Kidney Failure ◽  
Catheter Insertion ◽  
Common Cause ◽  
Tenckhoff Catheter ◽  
Catheter Dysfunction

Objective: This study aimed to evaluate the clinical outcome of Tenckhoff catheter insertion at Sardjito General Hospital for pediatric renal failure. Material & Methods: Data were collected from January 2014 to December 2018 at Sardjito General Hospital. All patient records were collected retrospectively such as patient characteristics, underlying diseases of kidney failure, congenital abnormalities, surgical technique, complications that occur after Tenckhoff catheter insertion. Results: 45 patients meet the inclusion criteria. A total of 7 patients with acute kidney failure (15.5%) and 38 patients with chronic kidney failure (84.5%). Glomerulonephritis is the most common cause of kidney failure (21 patients, 46.7%). The insertion technique used was open surgery in 34 patients (76%)  and laparoscopic insertion in 11 patients (24%). Complications reported were catheter dysfunction, leakage of dialysate, surgical site infection, and peritonitis. Conclusion: Tenckhoff catheter insertion for peritoneal dialysis (PD) in pediatric patients with acute and chronic renal failure performed in our center is effective and safe. The most common cause of renal failure in pediatric is glomerulonephritis. Open surgery and laparoscopic insertion of Tenckhoff catheter both have a low complication rate. Catheter dysfunction due to mechanical catheter obstruction is one of the main problems in the placement of Tenckhoff catheter.

scholarly journals EVALUATION OF TENCKHOFF CATHETER INSERTION USING OPEN SURGERY IN CHRONIC RENAL FAILURE PATIENTS

2016 ◽  
Vol 23 (1) ◽  
Author(s):  
Indra Bayu Nugroho ◽  
Prawito Singodimedjo ◽  
Indrawarman Indrawarman
Keyword(s):  
Diabetes Mellitus ◽  
General Hospital ◽  
End Stage Renal Disease ◽  
Open Surgery ◽  
Catheter Insertion ◽  
Catheter Migration ◽  
Tenckhoff Catheter ◽  
Catheter Dysfunction ◽  
Stage Renal Disease ◽  
End Stage

Objective: To evaluate the dysfunction rate of Tenckhoff catheter insertion for end stage renal disease patients at Sardjito General Hospital Yogyakarta. Material & method: Data were collected from medical record retrospectively for all chronic kidney disease (CKD) patients underwent continuous ambulatory peritoneal dialysis (CAPD), by open surgery at Sardjito General Hospital Yogyakarta, from January 2010 until Desember 2013. The cause of CKD and dysfunction rate was studied. Data was analyzed using SPSS ver 18.0 (IBM corp, USA). Results: There were 43 CKD patients underwent Tenckhoff cateter placement using open surgery. Tenckhoff catheter dysfunction was found in 11.7% patients. Disfunction was caused by blockage of the catheter by omentum (6.9%) and catheter migration (4.8%). Peritonitis complication was found in 2.3% patients. The cause of CKD at Sardjito General Hospital Yogyakarta was diabetes mellitus (53.5%), hypertension (44.2%), and glomerulonefritis (2.3%). There were no correlation of dysfunction rate with gender and the cause of CKD. Conclusion: Tenckhoff catheter placement by open surgery at Sardjito General Hospital Yogyakarta have good outcome.

scholarly journals Proteinuria pada Penderita Gagal Ginjal Kronik di Rumah Sakit Martha Friska Multatuli Medan Tahun 2015-2016

2019 ◽  
Vol 1 (2) ◽  
pp. 77-80
Author(s):  
Juliana Ruminta Sijabat ◽  
Sartini Sartini ◽  
Abdul Karim
Keyword(s):  
Renal Failure ◽  
Chronic Renal Failure ◽  
General Hospital ◽  
Medical Record ◽  
Kidney Failure ◽  
Chronic Kidney Failure ◽  
Urine Samples ◽  
Medical Record Data ◽  
Record Data ◽  
Male Patients

This study aims to determine the presence or absence of protein in urine in patients with chronic renal failure. From the results of the study it was found that patients with chronic kidney failure in Martha Friska Multatuli General Hospital Medan from the 80 most patients in positive +++. Many patients with chronic kidney failure are male patients (62.5%) compared to female patients (37.5%) and the results of the examination based on age increase with age, ie at the age of 45 years and above. This type of research is descriptive analytic. Data is taken by recording medical record data of patients with chronic kidney failure based on age, sex and year. The study was conducted from January 2015 to December 2016. The place for conducting the research was conducted at Martha Friska Multatuli General Hospital (RSU) Medan. The study sample was urine samples from all patients with chronic renal failure. It can be concluded that the picture of protein in urine in patients with chronic kidney failure increases every year.

scholarly journals Evaluasi Penggunaan Obat Antihipertensi pada Pasien Gagal Ginjal Kronik Rawat Inap di Rumah Sakit Umum Daerah Provinsi Nusa Tenggara Barat

2020 ◽  
Vol 1 (2) ◽  
pp. 61
Author(s):  
Anna Pradiningsih ◽  
Baiq Leny Nopitasari ◽  
Nur Furqani ◽  
Esi Wahyuningsih
Keyword(s):  
Renal Failure ◽  
Chronic Renal Failure ◽  
Drug Use ◽  
General Hospital ◽  
Kidney Failure ◽  
Antihypertensive Drugs ◽  
Chronic Kidney Failure ◽  
Inclusion Criteria ◽  
Cross Sectional ◽  
The Right

ABSTRAKGagal ginjal kronik merupakan penurunan fungsi ginjal progresif yang  irreversible ketika ginjal tidak mampu mempertahankan keseimbangan metabolik. Gagal ginjal kronik di Rumah Sakit Umum Daerah Provinsi NTB memasuki daftar 10 penyakit terbanyak. Penelitian ini bertujuan untuk mengevaluasi penggunaan obat antihipertensi pada pasien gagal ginjal kronik rawat inap di Rumah Sakit Umum Daerah Provinsi Nusa Tenggara Barat. Penelitian ini merupakan  penelitian observasional deskriptif dengan mengambil data secara cross sectional, sampel yang memenuhi kriteria inklusi sebanyak 43 orang. Evaluasi penggunaan obat dalam penelitian ini meliputi tepat pasien, tepat obat, tepat dosis, tepat indikasi dan tepat frekuensi. Hasil penelitian menunjukkan ketepatan penggunaan obat antihipertensi pada pasien gagal ginjal kronik yaitu 100% tepat pasien, 100% tepat obat, 100% tepat indikasi, 100% tepat dosis, 88,37% dan tepat frekuensi 27,91%.Kata kunci: Gagal ginjal kronik; Antihipertensi; Evaluasi penggunaan obat. ABSTRACTChronic kidney failure is a decrease in progressive kidney function which is irregular when the kidneys are unable to maintain metabolic balance. Chronic kidney failure at the NTB Provincial General Hospital enters the list of the 10 most diseases. This study aimed to evaluate the use of antihypertensive drugs in patients with chronic renal failure hospitalization at the Regional General Hospital of West Nusa Tenggara Province. The study was a descriptive observational study by taking cross sectional data, samples that met the inclusion criteria were 43 people. Evaluation of drug use in this study included the exact patient, the right medication, the right dose, the right indication and the right frequency. The results showed the accuracy of the use of antihypertensive drugs in patients with chronic renal failure, namely 100% right patients, 100% exact drugs, 100% exact indications, 100% exact dosages, 88.37% and exact frequency 27,91%.Keywords: Chronic Kidney Failure; Antihypertension; Evaluation of drug use.

Equilibrium Peritoneal Dialysis (EPD) in Acute Renal Failure (ARF) Secondary to Rhabdiomyolysis

1987 ◽  
Vol 7 (4) ◽  
pp. 244-246 ◽  
Author(s):  
Alejandro Trevino-Becerra ◽  
Patricia Munoz Cristina A vilez ◽  
Ma. Antonieta Schetino Maimone ◽  
Ma. Luisa Erbessd Lopez
Keyword(s):  
Renal Failure ◽  
Acute Renal Failure ◽  
Peritoneal Dialysis ◽  
Catheter Insertion ◽  
Urinary Volume ◽  
Tenckhoff Catheter ◽  
Adequate Method

The purpose of this work is to assess EPD in ARF patients who have suffered rhabdomyolysis. In preparation for Tenckhoff catheter insertion dialysis exchanges through a stylet catheter were used every 30 minutes; after implantation of the Tenckhoff catheter we started 2L of solution with six four-hour exchanges. Dialysis was discontinued after 16 days on average when patients had a urinary volume of over one litre in 24 hours. Results allow us to conclude that EPD is an adequate method of treatment for ARF due to rhabdomyolysis.

scholarly journals ГІСТОЛОГІЧНА ДІАГНОСТИКА ХРОНІЧНОЇ НИРКОВОЇ НЕДОСТАТНОСТІ В КОТІВ

2016 ◽  
Vol 18 (3(70)) ◽  
pp. 17-21
Author(s):  
B.V. Borysevich ◽  
V. Sviridenko ◽  
V.V. Hunich
Keyword(s):  
Renal Failure ◽  
Kidney Failure ◽  
Clinical Signs ◽  
Chronic Kidney Failure ◽  
Glomerular Sclerosis ◽  
Kidney Cells ◽  
Paraffin Sections ◽  
Blood Capillaries ◽  
Histological Studies ◽  
Laboratory Results

The objective of the study is to set the criteria of histological diagnosis of chronic renal insufficiency in cats. Lifetime diagnosis of chronic renal failure in a complex was set in complex, basing on anamnesis, clinical signs and laboratory results of blood and urine. For histological studies 29 cats corpses of different breeds and ages were used, who died from chronic kidney failure. Paraffin sections of 7 – 10 mm thickness from the different segments of kidney were stained with Carazzi's hematoxylin and eosin.It was established that during the histological studies in the kidney of cats who died from chronic kidney failure the microscopic changes diversity is characteristic. A characteristic feature of chronic kidney failure cats is complex of changes, which includes: 1) expand and overflow of blood capillaries of the glomeruli; 2) sludge–phenomenon in the capillaries of the glomerulus; 3) lack of blood in the capillaries of the glomerulus; 4) an increased amount of leachate in the cavity of Boumen–Shumlyanskiy capsule; 5) thickening (in some casescrescent–like) of parietal layer of Boumen–Shumlyanskiy capsule due to the hypertrophy and hyperplasia of its cells in the part of kidney cells; 6) glomerular sclerosis of the renal corpuscles and total necrosis of the renal corpuscles; 7) microcysts formation, mainly in the cortex. Other microscopic changes in different animals vary. 

scholarly journals Coping Mechanisms and Stress Adaptation in Chronic Kidney Failure Patients Underwent Hemodialysis Therapy in RSUD Waled Kabupaten Cirebon

2020 ◽  
Vol 7 (2) ◽  
pp. 27-31
Author(s):  
Bambang Adi Purnomo ◽  
Yani Kamasturyani ◽  
Cecep Wahyudin
Keyword(s):  
Renal Failure ◽  
Chronic Renal Failure ◽  
Kidney Failure ◽  
Chronic Kidney Failure ◽  
Coping Mechanisms ◽  
Rank Test ◽  
Stress Adaptation ◽  
P Value ◽  
Cross Sectional ◽  
Spearman Rank

Chronic renal failure is a disease that results in a progressive and gradual decline in renal function that requires hemodialysis therapy. In Indonesia, there were 198,575 patients chronic kidney failure in 2018. The number of undergoing hemodialysis therapy is 132,142 patients. The hemodialysis routine causes tension, anxiety, stress and depression in patient. The purpose of this study was to determine the relationship between coping mechanisms and stress adaptation in chronic renal failure patients undergoing hemodialysis therapy ant Waled Hospital. The method of this research was descriptive correlational with a cross sectional approach. This research used purposive sampling technique amounted to 79 respondents. The instrument of this research was a questionnaire Jaloweic Coping Scale (JCS) and stress adaptation questionnaire. Data analysis used the spearman rank test. Place of research at Waled Hospital, Cirebon Regency during July 2020.  The result showed that most respondents had an adaptive category as many as 55 adaptation showed the results of most respondents had an adaptive category as many as 55 respondents with a percentage (69.6%). The spearman rank test showed p value <α and r<1, which means that there was a moderate an positive relationship between coping mechanisms and stress adaptation (p value=0,000 < α=0.05 and r=0.593). The is a relationship between coping mechanisms and stress adaptation in chronic renal failure patients undergoing hemodialysis therapy. The better coping mechanism is carries out, the adaptive stress that arises will be adaptive so that the patient can adjust and be able to cope with the stress he is experiencing.

Peritonitis Caused by Monilia sitophila in a Patient Undergoing Peritoneal Dialysis

1996 ◽  
Vol 19 (4) ◽  
pp. 218-220 ◽  
Author(s):  
A.E. Radix ◽  
V.M. Bieluch ◽  
C.W. Graeber
Keyword(s):  
Peritoneal Dialysis ◽  
Amphotericin B ◽  
Continuous Ambulatory Peritoneal Dialysis ◽  
Fungal Peritonitis ◽  
Common Cause ◽  
Tenckhoff Catheter ◽  
First Case ◽  
Etiologic Agents ◽  
Oral Itraconazole

Fungi have become an increasingly important cause of peritonitis in patients undergoing continuous ambulatory peritoneal dialysis. The most common cause of fungal peritonitis is Candida. However, in recent years unusual and “nonpathogenic” fungi have been reported as etiologic agents of CAPD-associated peritonitis. We are reporting the first case of CAPD-associated peritonitis caused by Monilia sitophila. This organism had previously been considered to be non-pathogenic, and a troublesome laboratory contaminant. Our patient was successfully managed with intravenous and intraperitoneal amphotericin B, followed by oral itraconazole, without removal of her Tenckhoff catheter.

scholarly journals The efficacy and safety of a novel method of peritoneal dialysis catheter insertion from the McBurney point

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Kyohei Ogawa ◽  
Yukio Maruyama ◽  
Nanae Matsuo ◽  
Yudo Tanno ◽  
Ichiro Ohkido ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Catheter Insertion ◽  
Outer Side ◽  
Peritoneal Dialysis Catheter ◽  
Efficacy And Safety ◽  
Omental Wrapping ◽  
Mechanical Complications ◽  
Catheter Dysfunction ◽  
Novel Method ◽  
Stage Renal Disease

Abstract Background Catheter dysfunction, especially omental wrapping, is a serious complication of peritoneal dialysis (PD). Although catheter implantation at a lower site was reported to prevent omental wrapping, this method could induce insufficient drainage of the PD solution and cause pain or a persistent desire to defecate, when the intraperitoneal catheter is of insufficient length or when its tip is in direct contact with the pelvic floor, respectively. The aim of this study was to assess the efficacy and safety of a novel PD catheter insertion method of approaching from the McBurney point, from the outer side of the abdomen. Methods This retrospective study included 23 patients with end-stage renal disease who were started on PD from January 2017 to July 2018 at Ashikaga Red Cross Hospital, Tochigi, Japan. Among them, 16 patients underwent a PD catheter insertion using a conventional method, whereas 7 patients underwent a novel method of approaching from the McBurney point. Infectious and mechanical complications were evaluated until August 2020. Results There were 18 men and 5 women, with a mean age of 63.1 ± 13.6 years. All patients were followed up postoperatively for a mean duration of 27.2 ± 13.4 months. No patient experienced omental wrapping, insufficient drainage of the PD solution, and pain or persistent desire to defecate in both groups. Both the incidence of infectious and mechanical complications (times per patient-year) were not statistically different between patients undergoing a conventional and a novel PD catheter insertion (0.18 vs. 0.24; p = 0.79 and 0.03 vs. 0.16; p = 0.16, respectively). Conclusions This novel method of PD catheter insertion from the McBurney point was safe, caused less discomfort, and was effective in preventing catheter dysfunction.

scholarly journals A Simple Tenckhoff Catheter Placement Technique for Continuous Ambulatory Peritoneal Dialysis (CAPD) Using the Bandung Method

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Jonny ◽  
Rudi Supriyadi ◽  
Rully Roesli ◽  
Goh Bak Leong ◽  
Lydia Permata Hilman ◽  
...  
Keyword(s):  
Developing Countries ◽  
Peritoneal Dialysis ◽  
Continuous Ambulatory Peritoneal Dialysis ◽  
Cost Effective ◽  
Catheter Insertion ◽  
Catheter Removal ◽  
Seldinger Technique ◽  
Invasive Technique ◽  
Tenckhoff Catheter ◽  
Stage Renal Disease

Insertion of Tenckhoff catheters for continuous ambulatory peritoneal dialysis by nephrologists remains uncommon in most developing countries, including Indonesia. The aim of this study is to describe our experience on a simple technique of Tenckhoff catheter insertion by a nephrologist called the Bandung method. We conducted a retrospective observational study from May 2012 until December 2018 in 230 patients with end-stage renal disease using the Bandung method, a blind percutaneous insertion approach modified from the Seldinger technique. Early complications after insertion were assessed. The mean age of patients was 47.28 years (range 14–84 years). Within 1 month after insertion, complications occurred in 34 patients: 13 (5.7%) malposition, 8 (3.5%) omental trapping, 6 (2.6%) outlow failure, 3 (1.3%) peritonitis, 1 (0.4%) catheter infections, 1 (0.4%) bleeding, 1 (0.4%) kinking, and 1 (0.4%) hernia. None of these complications led to catheter removal. One patient experienced a late (>1 month) post-insertion complication of malposition that could not be repositioned and led to catheter removal. The Bandung method is a simple, cost effective, and minimally invasive technique for Tenckhoff catheter insertion that is associated with the same rate of complications compared to other techniques. This technique may useful for application in developing countries.

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