Continuous Ambulatory Peritoneal Dialysis (CAPD) Catheter Insertion Using the Fluoroscopy and Minimal Skin Incision
Journal of the Korean Surgical Society
; : 170-174, 2006.
Article
en Ko
| WPRIM
| ID: wpr-99019
Biblioteca responsable:
WPRO
ABSTRACT
PURPOSE: Continuous ambulatory peritoneal dialysis (CAPD) is an important method of performing renal replacement therapy in patients with chronic renal failure. A significant number of complications and catheter failures in CAPD are due to mechanical pro-blems and peritonitis. We describe our experience with CAPD with using fluoroscopy and a minimal incision technique to reduce complications. METHODS: We reviewed 57 CAPD patients at Dong-A University Medical Center from June 2004 to March 2005. All the procedures were standardized and performed by a single surgeon with using a flexible guide wire under aseptic fluoroscopic control through a minimal incision. Antibiotic treatment was done for three days after the surgery. RESULTS: The patients consisted of 30 males and 27 females. The common reasons for CAPD insertion were diabetic nephropathy (25 patients) and hypertension (9 patients). The mean operation time was 52.2+/-15.8 minutes. All the initial procedures were carried out under local anesthesia. Four of the patients needed their catheter repositioned during their postoperative course, which was done under local anesthesia in three cases and under spinal anesthesia in one case. Catheter malfunction occurred in 4 patients, and peritonitis developed in 8 patients (for wound related peritonitis in 1 patient and for catheter related peritonitis in 7 patients). CONCLUSION: Making a minimum incision and catheter insertion under fluoroscopic control for CAPD is a safe and highly effective method to reduce the incidence of catheter related complications. Furthermore, strict patient education is crucial for optimum catheter care, which is closely associated with development of peritonitis in CAPD patients.
Palabras clave
Texto completo:
1
Índice:
WPRIM
Asunto principal:
Peritonitis
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Piel
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Heridas y Lesiones
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Fluoroscopía
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Educación del Paciente como Asunto
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Incidencia
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Diálisis Peritoneal Ambulatoria Continua
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Terapia de Reemplazo Renal
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Nefropatías Diabéticas
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Centros Médicos Académicos
Tipo de estudio:
Diagnostic_studies
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Incidence_studies
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Prognostic_studies
Límite:
Female
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Humans
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Male
Idioma:
Ko
Revista:
Journal of the Korean Surgical Society
Año:
2006
Tipo del documento:
Article