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Peritoneal dialysis catheter placement technique and complications
Background. This review describes the peritoneal dialysis (PD) catheter implantation techniques for the treatment of PD. The PD catheter-related complications still cause significant morbidity and mortality, resulting in the necessity to switch to haemodialysis (HD) treatment. Methods. Several cathe...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2008
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4421142/ https://www.ncbi.nlm.nih.gov/pubmed/25983982 http://dx.doi.org/10.1093/ndtplus/sfn120 |
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author | Peppelenbosch, Arnoud van Kuijk, Willy H. M. Bouvy, Nicole D. van der Sande, Frank M. Tordoir, Jan H. M. |
author_facet | Peppelenbosch, Arnoud van Kuijk, Willy H. M. Bouvy, Nicole D. van der Sande, Frank M. Tordoir, Jan H. M. |
author_sort | Peppelenbosch, Arnoud |
collection | PubMed |
description | Background. This review describes the peritoneal dialysis (PD) catheter implantation techniques for the treatment of PD. The PD catheter-related complications still cause significant morbidity and mortality, resulting in the necessity to switch to haemodialysis (HD) treatment. Methods. Several catheter insertion techniques, using an open surgical approach, laparoscopic and percutaneous techniques have been employed, with their specific early and late complications and failure rates. Results. Despite the similar outcomes of open surgical versus laparoscopic techniques from randomized studies, the laparoscopic insertion has the major advantage of correct catheter positioning in the lower abdomen, with the possibility of adhesiolysis. The minimal invasive percutaneous insertion bears the risk of bowel perforation and catheter malpositioning, and the outcome of this technique is strongly related to the experience of the surgeon. The major complications of these implantation techniques, like bleeding, dialysate leakage and catheter malpositioning, and their management are discussed in our study. Late peritonitis remains the major drawback of PD treatment, with the need of temporary or permanent changeover to the HD treatment in 10% of the patients. Conclusions. Enrichment of the physician's interest and experience, along with a multidisciplinary approach to outline the optimal strategy of PD-catheter insertion and complication of the treatment, may improve the patients’ survival and decrease the morbidity. |
format | Online Article Text |
id | pubmed-4421142 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2008 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-44211422015-05-15 Peritoneal dialysis catheter placement technique and complications Peppelenbosch, Arnoud van Kuijk, Willy H. M. Bouvy, Nicole D. van der Sande, Frank M. Tordoir, Jan H. M. NDT Plus Original Articles Background. This review describes the peritoneal dialysis (PD) catheter implantation techniques for the treatment of PD. The PD catheter-related complications still cause significant morbidity and mortality, resulting in the necessity to switch to haemodialysis (HD) treatment. Methods. Several catheter insertion techniques, using an open surgical approach, laparoscopic and percutaneous techniques have been employed, with their specific early and late complications and failure rates. Results. Despite the similar outcomes of open surgical versus laparoscopic techniques from randomized studies, the laparoscopic insertion has the major advantage of correct catheter positioning in the lower abdomen, with the possibility of adhesiolysis. The minimal invasive percutaneous insertion bears the risk of bowel perforation and catheter malpositioning, and the outcome of this technique is strongly related to the experience of the surgeon. The major complications of these implantation techniques, like bleeding, dialysate leakage and catheter malpositioning, and their management are discussed in our study. Late peritonitis remains the major drawback of PD treatment, with the need of temporary or permanent changeover to the HD treatment in 10% of the patients. Conclusions. Enrichment of the physician's interest and experience, along with a multidisciplinary approach to outline the optimal strategy of PD-catheter insertion and complication of the treatment, may improve the patients’ survival and decrease the morbidity. Oxford University Press 2008-10 /pmc/articles/PMC4421142/ /pubmed/25983982 http://dx.doi.org/10.1093/ndtplus/sfn120 Text en © The Author [2008]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Original Articles Peppelenbosch, Arnoud van Kuijk, Willy H. M. Bouvy, Nicole D. van der Sande, Frank M. Tordoir, Jan H. M. Peritoneal dialysis catheter placement technique and complications |
title | Peritoneal dialysis catheter placement technique and complications |
title_full | Peritoneal dialysis catheter placement technique and complications |
title_fullStr | Peritoneal dialysis catheter placement technique and complications |
title_full_unstemmed | Peritoneal dialysis catheter placement technique and complications |
title_short | Peritoneal dialysis catheter placement technique and complications |
title_sort | peritoneal dialysis catheter placement technique and complications |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4421142/ https://www.ncbi.nlm.nih.gov/pubmed/25983982 http://dx.doi.org/10.1093/ndtplus/sfn120 |
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