Complications after Tenckhoff Catheter Insertion: A Single-Centre Experience using Multiple Operators over Four Years

Liu, Wen Jiun; Hooi, Lai Seong

doi:10.3747/pdi.2009.00083

Cited by 31 publications

(32 citation statements)

References 6 publications

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“…In contrast to their catheter replacement procedure, we report the present case of salvaging a preperitoneally-placed catheter, laparoscopically. This is the first time this technique is being reported to the best of our knowledge (1)(2)(3).…”

Section: Discussionmentioning

confidence: 99%

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Laparoscopic Intraperitonealization of Accidentally Misplaced Peritoneal Dialysis Catheter: A Salvage Procedure

et al. 2016

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Tenckhoff catheter placement is a well-established procedure to facilitate continuous ambulatory peritoneal dialysis (CAPD) in end-stage renal disease (ESRD) management. Catheter malposition is a possible cause of catheter malfunction. Options to deal with early malfunction are re-exploration, omentectomy, repositioning, or new catheter placement. Technical malpositioning can be dealt with early, with minimal morbidity and cost. Here we report a case of a CAPD catheter accidentally placed preperitoneally which was salvaged using videolaparscopy.

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Section: Discussionmentioning

confidence: 99%

“…The removal of the catheter following malfunctioning adds to patient morbidity and to cost. A salvage procedure for catheter repositioning reduced the economic burden of inserting a new catheter (1).…”

mentioning

confidence: 99%

Laparoscopic Intraperitonealization of Accidentally Misplaced Peritoneal Dialysis Catheter: A Salvage Procedure

et al. 2016

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“…This lack of effective coordination between caregivers may explain why so many patients rated their PDC-related education as inadequate. Defining PDC complications is not always straightforward or consistent (1)(2)(3)(4)(5)12,29,31,33). A strict classification of PDC complications includes only those resulting in intervention or technique failure, including death (31).…”

Section: Discussionmentioning

confidence: 99%

Patient Education and Care for Peritoneal Dialysis Catheter Placement: A Quality Improvement Study

et al. 2014

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ORIgINAL ARTICLES♦ Background and Objectives: Peritoneal dialysis catheter (PDC) complications are an important barrier to peritoneal dialysis (PD) utilization. Practice guidelines for PDC placement exist, but it is unknown if these recommendations are followed. We performed a quality improvement study to investigate this issue. ♦ Methods: A prospective observational study involving 46 new patients at a regional US PD center was performed in collaboration with a nephrology fellowship program. Patients completed a questionnaire derived from the International Society for Peritoneal Dialysis (ISPD) catheter guidelines and were followed for early complications. ♦ Results: Approximately 30% of patients reported not being evaluated for hernias, not being asked to visualize their exit site, or not receiving catheter location marking before placement. After insertion, 20% of patients reported not being given instructions for follow-up care, and 46% reported not being taught the warning signs of PDC infection. Directions to manage constipation (57%), immobilize the PDC (68%), or leave the dressing undisturbed (61%) after insertion were not consistently reported. Nearly 40% of patients reported that their PDC education was inadequate. In 41% of patients, a complication developed, with 30% of patients experiencing a catheter or exit-site problem, 11% developing infection, 13% needing PDC revision, and 11% requiring unplanned transfer to hemodialysis because of catheterrelated problems.♦ Conclusions: There were numerous deviations from the ISPD guidelines for PDC placement in the community. Patient satisfaction with education was suboptimal, and complications were frequent. Improving patient education and care coordination for PDC placement were identified as specific quality improvement needs. Perit Dial Int

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“…A laparoscopic approach, with omentectomy or omentopexy, has been reported to be efficient in the treatment of omental wrapping and prevention of recurrence (1,2,8,9). Laparoscopic fixation of the catheter tip to the pelvic cavity is also beneficial in the prevention of catheter migration.…”

Section: Minilaparotomy Salvage Of Pd Cathetersmentioning

confidence: 99%

“…Catheter malfunction develops in 3.9% -13.3% of patients with a Tenckhoff catheter (1,2). Catheter malfunction leads to interruption of PD, and a rescue operation such as fluoroscopy-guided manipulation using correction instruments, or laparoscopy or minilaparotomy is usually required (1)(2)(3)(4)(5)(6)(7)(8)(9)(10). The success and malfunction recurrence rates vary between methods because of differences in the procedures.…”

mentioning

confidence: 99%

Minilaparotomy Salvage of Malfunctioning Catheters in Peritoneal Dialysis

Cheng

Chiu

et al. 2013

Perit Dial Int

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Complications after Tenckhoff Catheter Insertion: A Single-Centre Experience using Multiple Operators over Four Years

Abstract: The most common complication was catheter migration. The paramedian insertion technique was safe, with low complication rates.

Cited by 31 publications

References 6 publications

Laparoscopic Intraperitonealization of Accidentally Misplaced Peritoneal Dialysis Catheter: A Salvage Procedure

Laparoscopic Intraperitonealization of Accidentally Misplaced Peritoneal Dialysis Catheter: A Salvage Procedure

Patient Education and Care for Peritoneal Dialysis Catheter Placement: A Quality Improvement Study

Minilaparotomy Salvage of Malfunctioning Catheters in Peritoneal Dialysis

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