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A surgical girdle postoperatively may prevent pain and tunnel infections of peritoneal dialysis patients
AIM: When performing acute onset dialysis after insertion of catheters for peritoneal dialysis, pain exists and tunnel infections may develop. This study investigated whether patients benefit from the use of a surgical girdle and specific dressing postoperatively to prevent pain and tunnel infection...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7851719/ https://www.ncbi.nlm.nih.gov/pubmed/31648577 http://dx.doi.org/10.1177/0391398819882439 |
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author | Nilsson, Christina Sperker, Wolfgang Schien, Claudia Isaksson, Malin Stegmayr, Bernd G |
author_facet | Nilsson, Christina Sperker, Wolfgang Schien, Claudia Isaksson, Malin Stegmayr, Bernd G |
author_sort | Nilsson, Christina |
collection | PubMed |
description | AIM: When performing acute onset dialysis after insertion of catheters for peritoneal dialysis, pain exists and tunnel infections may develop. This study investigated whether patients benefit from the use of a surgical girdle and specific dressing postoperatively to prevent pain and tunnel infections. MATERIALS AND METHODS: In 85 consecutive patients, the development of tunnel infections was followed. The patients used a surgical girdle when they were in supine position from day 1 to day 3. The peritoneal dialysis catheter was fixed in a curvature avoiding stretch in the exit. A total of 53 patients participated in a retrospective questionnaire to evaluate abdominal pain within the first 3 days after surgery either with or without girdle. A visual analogue scale from 0 to 10 was used. RESULTS: In 23 patients, data on pain both with and without the girdle could be recorded. Pain was relieved more when using the girdle versus no girdle (median day 1 3.0 vs 4.0, p < 0.001, n = 30, Wilcoxon paired). The development of tunnel infections during the latest 7-year period (exposure period 1487 months) showed a total of three episodes (one every 495 months) of which one caused a subsequent peritonitis, while the other two resolved after antibiotic therapy. Peritonitis episodes appeared at a mean of 37-month interval. CONCLUSION: The use a surgical girdle for 3 days postoperatively and a fixation of the peritoneal dialysis catheter in a curved loop relieves the pain and results in few tunnel infections and subsequent episodes of peritonitis. |
format | Online Article Text |
id | pubmed-7851719 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-78517192021-02-16 A surgical girdle postoperatively may prevent pain and tunnel infections of peritoneal dialysis patients Nilsson, Christina Sperker, Wolfgang Schien, Claudia Isaksson, Malin Stegmayr, Bernd G Int J Artif Organs Original Research Articles AIM: When performing acute onset dialysis after insertion of catheters for peritoneal dialysis, pain exists and tunnel infections may develop. This study investigated whether patients benefit from the use of a surgical girdle and specific dressing postoperatively to prevent pain and tunnel infections. MATERIALS AND METHODS: In 85 consecutive patients, the development of tunnel infections was followed. The patients used a surgical girdle when they were in supine position from day 1 to day 3. The peritoneal dialysis catheter was fixed in a curvature avoiding stretch in the exit. A total of 53 patients participated in a retrospective questionnaire to evaluate abdominal pain within the first 3 days after surgery either with or without girdle. A visual analogue scale from 0 to 10 was used. RESULTS: In 23 patients, data on pain both with and without the girdle could be recorded. Pain was relieved more when using the girdle versus no girdle (median day 1 3.0 vs 4.0, p < 0.001, n = 30, Wilcoxon paired). The development of tunnel infections during the latest 7-year period (exposure period 1487 months) showed a total of three episodes (one every 495 months) of which one caused a subsequent peritonitis, while the other two resolved after antibiotic therapy. Peritonitis episodes appeared at a mean of 37-month interval. CONCLUSION: The use a surgical girdle for 3 days postoperatively and a fixation of the peritoneal dialysis catheter in a curved loop relieves the pain and results in few tunnel infections and subsequent episodes of peritonitis. SAGE Publications 2019-10-24 2020-04 /pmc/articles/PMC7851719/ /pubmed/31648577 http://dx.doi.org/10.1177/0391398819882439 Text en © The Author(s) 2019 https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Original Research Articles Nilsson, Christina Sperker, Wolfgang Schien, Claudia Isaksson, Malin Stegmayr, Bernd G A surgical girdle postoperatively may prevent pain and tunnel infections of peritoneal dialysis patients |
title | A surgical girdle postoperatively may prevent pain and tunnel infections of peritoneal dialysis patients |
title_full | A surgical girdle postoperatively may prevent pain and tunnel infections of peritoneal dialysis patients |
title_fullStr | A surgical girdle postoperatively may prevent pain and tunnel infections of peritoneal dialysis patients |
title_full_unstemmed | A surgical girdle postoperatively may prevent pain and tunnel infections of peritoneal dialysis patients |
title_short | A surgical girdle postoperatively may prevent pain and tunnel infections of peritoneal dialysis patients |
title_sort | surgical girdle postoperatively may prevent pain and tunnel infections of peritoneal dialysis patients |
topic | Original Research Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7851719/ https://www.ncbi.nlm.nih.gov/pubmed/31648577 http://dx.doi.org/10.1177/0391398819882439 |
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