ISSN: 1300-0292
İndekslendiği Dizinler: SCIENCE CITATION INDEX EXPANDED
CINAHL, Index Copernicus,
Chemical Abstracts (CA),
Excerpta Medica / EMBASE
Dil: Türkçe, İngilizce
İçerik: Orijinal Araştırma, Derleme, Editöre Mektup, Olgu Sunumu, Tıp Eğitimi, Tıbbi Kitap İncelemeleri
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ORIGINAL RESEARCH ARTICLES |
Complications Of Tenckhoff Catheter Insertion Via Rectus Muscle-splitting Technique: Six-year Experience And Review Of The Literature
Ömer Rıdvan TARHAN, MD,a Erol EROĞLU, MD,aTuğrul SEZER, MD,b İbrahim BARUT, MD,aCelal ÇERÇİ, MD,a Yusuf AKDENİZ, MD,a Mahmut BÜLBÜL, MDa
Departments of aGeneral Surgery, bNephrology, Süleyman Demirel University Medical School, ISPARTA
Objective: The purpose of our study was to determine the complications of Tenckhoff catheter insertion via rectus muscle-splitting technique and compare the advantages and disadvantages of this technique with a review of the literature.
Material and Methods: The surgical complications pertaining to 106 continuous ambulatory peritoneal dialysis catheters were reviewed in 100 patients from June 1997 through December 2003. All catheters were inserted in the operating room by an open technique. Local anaesthesia was used in all patients. The peritoneal cavity approach was performed via an infraumbilical paramedian muscle-splitting incision for all placements. The complications were classified as intraoperative or postoperative.
Results: Intraoperative complications consisted of 1 urinary bladder placement, 6 early leakages, 4 wound infections, 3 exit site infections, 3 peritonitidis and 2 rectus muscle haematomas. Peritonitis was the most frequent postoperative complication; there were 54 cases of peritonitis in 2930 patient months (1 episode per 54.3 patient months). Other postoperative complications were 35 exit site infections in 23 patients (1 case per 83.7 patient months), 4 outflow obstructions, 1 inguinal hernia, 6 late leakages and 7 umbilical hernias.
Conclusion: In the study, the rate of peritonitis, major complication, dialysate leakage, exit site infection, incisional and inguinal hernia was comparable to or lower than in other series. Meticulous surgical technique and infraumbilical paramedian muscle-splitting approach in catheter placement provided low complication rates. Consequently, the average catheter life was higher than in most studies (29.3 months).Keywords: Peritoneal dialysis; complications; diagnostic techniques, surgical; kidney failureTurkiye Klinikleri J Med Sci 2007, 27:44-51
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