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Peritoneal catheter fixation combined with straight upward tunnel and low implant position to prevent catheter malfunction
Author(s) -
Zhang Qingyan,
Jiang Chunming,
Zhu Wei,
Sun Cheng,
Xia Yangyang,
Tang Tianfeng,
Wan Cheng,
Shao Qiuyuan,
Liu Jing,
Jin Bo,
Zhang Miao
Publication year - 2018
Publication title -
nephrology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.752
H-Index - 61
eISSN - 1440-1797
pISSN - 1320-5358
DOI - 10.1111/nep.12968
Subject(s) - medicine , catheter , surgery , fixation (population genetics) , implant , peritoneal dialysis , anesthesia , population , environmental health
Aim Catheter malfunction is the main reason for early peritoneal dialysis (PD) technique failure. This study aimed to evaluate the effect of a new surgery technique with catheter fixation to the lower abdominal wall combined with straight upward tunnel and low implant position in reducing catheter malfunction. Methods Patients with end stage renal disease who received PD in our centre from January 2013 to December 2015 were involved in this study. They were randomly divided into three groups according to surgical technique: traditional open surgery group, modified open surgery group and modified open surgery with catheter fixation group. All patients were followed up for six months after surgery. Catheter‐ related complications were analyzed. Results A total of 152 patients were involved. Among them, 49 received traditional open surgery (TOS group), 49 received modified open surgery (MOS group), and 54 received modified open surgery with catheter fixation (MOS‐F group). During follow‐up, no patients (0%) in MOS‐F group developed catheter malfunction which was significantly lower than that of the TOS group (0 vs 16.33%, P = 0.002). Although not statistically significant, the incidence of catheter malfunction was lower in MOS‐F group than that in MOS group (0 vs 4.08%, P = 0.134). No significant difference was observed in the episodes of infection, bleeding, leakage, inflow or outflow pain, hernia and delayed wound healing among the three groups (all P > 0.05). Conclusions Catheter fixation combined with straight upward tunnel and low implant position can effectively prevent catheter malfunction in PD catheter placement.