Percutaneous and Open Surgical Techniques for Peritoneal Catheter Placement- A Comparative Study
Journal Title: Journal of Advanced Medical and Dental Sciences Research - Year 2017, Vol 5, Issue 11
Abstract
Background: Success in carrying out peritoneal dialysis (PD) requires a functioning catheter and the ability of the patient to master the PD technique. The present study compared the PDC insertion by conventional surgical technique and percutaneously. Materials & Methods: Group I included 140 patients in which PDC was inserted conventional surgical technique and group II had 140 patients in which catheters were inserted percutaneously. Complications and survival rate was compared in both groups. Results: The mean age in group I was 52±10.2 years and in group II was 51±12.4 years. Each group had 46 females. Patients above 70 years of age were 30 in group I and 24 in group II. Ethnic minority was seen in 10 patients in group I and 2 in group II. The difference was non- significant (P>0.05). Diabetic nephropathy was observed in 18 in group I and 22 in group II. Polycystic kidney disease was seen in 28 in group I and 7 in group II. The difference was non- significant (P<0.05). Previous abdominal surgery was performed in 72 in group I and 14 in group II. The difference was non- significant (P<0.05). Previous PD catheter was inserted in 37 and 8 patients in group I and group II respectively. The difference was non- significant (P- 0.00). Complications like primary failure in group II (3), poor initial drainage in group I (18) and group II (14), PD related peritonitis in both groups as 1. Other was exit leak in group I (12) and group II (34), scrotal leak in group I (5) and group II (13). The difference was highly significant (P-0.001), pleural leak in group I (10) and group II (4). The difference was significant (P-0.01), secondary drainage failure in group I (21) and group II (13). At 3 month both groups had 130 catheter, which at 12 months, the survival rate decreased to 102 in group I and 110 in group II. The difference was non- significant (P>0.05). Conclusion: Percutaneous PDC placement compares favorably with the open surgical technique in terms of technical survival and overall complication rates.
Authors and Affiliations
Prithviraj L Jadhav, Pradeep Shankarrao Patil
Keywords
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