Open AccessPercutaneous CAPD catheter insertion by a nephrologist versus surgical placement: A comparative study
Author(s) -
K. Sampathkumar,
AR Mahaldar,
Yesudas Santhakumari Sooraj,
M Ramkrishnan,
Ajeshkumar,
Rajesh Rajan
Publication year - 2008
Publication title -
indian journal of nephrology/indian journal of nephrology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.317
H-Index - 24
eISSN - 1998-3662
pISSN - 0971-4065
DOI - 10.4103/0971-4065.41280
Subject(s) - medicine , seldinger technique , percutaneous , continuous ambulatory peritoneal dialysis , catheter , nephrology , surgery , peritoneal dialysis , ambulatory , dialysis
Peritoneal dialysis catheter (PDC) for continuous ambulatory peritoneal dialysis is inserted into the abdominal cavity either by a surgeon, interventional radiologist or nephrologist. Various innovations have been made in the methodology adopted in the placement of the PDC. We compared the percutaneous approach for PDC insertion with the open surgical technique. From January 2006 to May 2007, 25 of the 46 catheters were successfully inserted using the percutaneous Seldinger technique. The incision size (2.6 +/- 0.7 vs 7.3 +/- 0.6 cm) and the length of hospital stay (11.9 +/- 5.9 vs 17.3 +/- 6.8 d) were considerably less in the percutaneously placed group compared to the surgically placed group. Early initiation of exchanges and reduction in the expenses were other important advantages of this method.