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Laparoscopic T enckhoff catheter insertion: a retrospective study over 6 years
Author(s) -
Bunker Daniel,
Ilie Victor,
Fisher Dean
Publication year - 2012
Publication title -
anz journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.426
H-Index - 70
eISSN - 1445-2197
pISSN - 1445-1433
DOI - 10.1111/j.1445-2197.2012.06273.x
Subject(s) - medicine , surgery , catheter , peritoneal dialysis , peritonitis , complication , hernia , port (circuit theory) , retrospective cohort study , asepsis , laparoscopy , engineering , electrical engineering
Peritoneal dialysis via T enckhoff catheter predisposes to hernia formation due to both local and systemic factors. Another important complication of peritoneal catheter insertion includes infection, which can prompt removal of the catheter. Methods We performed a retrospective study between J anuary 2005 and J uly 2011 of 61 patients who underwent laparoscopic placement of a T enckhoff catheter and peritoneal dialysis at our institution using a single‐port technique. We analysed complications of T enckhoff insertion, specifically infection and the formation of hernias requiring operative management. Results Infections noted in our patients included peritonitis (10%) and exit‐site infection (5%). Of the five patients who required re‐insertion of T enckhoff catheter, four were for infective complications. A total of seven hernias developed in five (8%) of patients, mostly inguinal or umbilical near the H assan port entry site. Discussion With infection and hernia formation being the main contributors to failure of the procedure, actively addressing the entry site and areas predisposed to hernia formation, observing aseptic technique and meticulous attention to early signs of complications during follow‐up are vital to improve success rates. The outcomes of the laparoscopic single‐port insertion technique shows promise compared with conventional T enckhoff catheter insertion techniques.