A Retrospective Analytical Study to Compare Percutaneous and Surgical Placement of Peritoneal Dialysis Catheter Percutaneous, Surgical Techniques for Peritoneal Catheter
Journal of Pediatric Nephrology,
Vol. 10 No. 2 (2022),
1 October 2022
,
Page 67-73
https://doi.org/10.22037/jpn.v10i2.37781
Abstract
Background and Aim: Peritoneal dialysis is an effective modality of renal replacement
therapy in end-stage renal disease. The initial step in peritoneal dialysis management is
securing the Peritoneal Dialysis Catheter (PDC). This study aims to compare the infective and
mechanical complications of the surgical versus the percutaneous catheter insertion technique.
Methods: This retrospective analytical study was conducted on end-stage renal disease
patients who attended the Department of Nephrology, ESIC Medical College, and Super
Specialty Hospital. The study was conducted from January 2019 to June 2020. The records
of 25 patients who underwent percutaneous PDC and 5 patients who underwent open
surgical PDC technique were reviewed. The complications (mechanical and infective
complications) at 3-, 6-, and 12-month intervals among the study groups were considered
the primary outcome variables, and catheter and patient survival at 1-year interval were
considered the secondary outcome variables. The student t test and the Chi-square test
were used to compare the study groups. The data were analyzed via the coGuide software.
Results: No significant differences in baseline parameters were observed among the groups
(P>0.05). The infective complications, namely the peritonitis rate and the exit site infection
were reported more in the surgical technique of PDC placement compared to percutaneous
placement (20% vs 16% and 20% vs 0%, respectively); however, the difference was not
statistically significant. Catheter migration was higher in surgical technique compared to the
percutaneous technique (20% vs 4%) but it was not statistically significant.
Conclusion: Both the percutaneous and surgical techniques reported similar rates of
complications, technique survival, and patient survival. Further randomized control
trials or prospective cohort studies are needed to analyze the effectiveness and
complications of these techniques.
- Continuous Ambulatory Peritoneal Dialysis
- Catheters
- Kidney Failure
- Chronic Kidney Diseases
- Peritoneal Dialysis
- Peritonitis
How to Cite
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