Second surgical procedures for continuous ambulatory peritoneal dialysis patients: An analysis of 148 cases

Abstract

Aim:Patients who undergo continuous ambulatory peritoneal dialysis (CAPD) frequently need second surgical procedures (SSP) for various reasons. After 18 years of practice and observation, we analysed the records of these patients and tried to determine what complications occurred most often and how to deal with them. Patients and methods: We retrospectively reviewed the medical records of patients receiving CAPD treatment in the past 18 years at our hospital. The impact of the most serious complications to the CAPD modality was presented by the technique survival rate. We also classified the SSP and analysed the indications for SSP. Results: All 206 SSP could be classified into 12 types of procedures. More than half of the procedures (51.9 per cent) were catheter removal, followed by debridement (14.1 per cent) and herniorrhaphy (10.2 per cent). There were 18 indications for SSP. The most common indication was peritonitis (21.4 per cent). The 3-year technique survival was only 23.2 per cent in 82 patients whose catheters were removed because of serious complications. Conclusions: During our long-term follow up of CAPD patients, more than one-third (36 per cent) needed SSP. Catheter removal forced by peritonitis still remains a major problem for patients and care providers. Technique survival was very low once a serious complication occurred.