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2007, Number 5

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Rev Fac Med UNAM 2007; 50 (5)

Percutaneous placement of Tenckhoff catheter for peritoneal dialysis

Méndez DA, Chavira SP, Martínez TC, Orozco MP, Godoy MA
Full text How to cite this article

Language: Spanish
References: 9
Page: 204-207
PDF size: 284.25 Kb.


Key words:

Renal failure, dialysis, Tenckhoff catheter.

ABSTRACT

Designs of Tenckhoff catheter and the ways to place it are varied and keep changing: percutaneous, surgical or laparoscopic. Peritoneal dialysis is the most frequently method to deal with renal failure. In our institution we have 23 years of experience and have treated 700 patients; a retrospective study of 30 months, between 2004 and 2006 include all the patients seen in grade 5 of renal failure, recording age, sex, ethiology, diabetes, complications, results at the end of 12 months and general costs of the procedure. Results: A number of 777 catheters were placed, 754 (97%) Quinton-Kendall with percutaneous technique in 338 males and 416 (55%) females. The ethiology was diabetes type 2 in 58% of patients, hypertension in 9%, chronic glomerulo-nephritis in 3% and obstructive uropathy in 3%. Complications consisted in local infection (19%), leakage in 2% and perforation of a viscus, one case. Conclusions: This technique permits an effective immediate dialysis, has little complications, catheter survival is long and less costly. It is proposed as the ideal method.


REFERENCES

  1. Campos SJ, Gianinni DR, Leal JCP et al. Aspectos quirúrgicos en el uso del catéter de Tenckhoff. Rev Cir Inf 2002: 12(3): 181-4.

  2. Cala, Zoran; Mimica, Zeljko; Ljutic, Dragan et al. Laparoscopic placement of the peritoneal dialysis catheter using a specially designed trocar: a review of 84 patients. Dial and Transplant 2000; 29(1): 722-7.

  3. Moncrief JW, Popovich RP et al. Reducción en la incidencia de peritonitis en diálisis peritoneal continua ambulatoria con un nuevo catéter y técnica de implantación. Nefrol Mex 1993; 14(1): 7-10.

  4. Santarelli, Stefano et al. Videolaparoscopy as rescue therapy and placement of peritoneal dialysis catheters: a third-two case single centre experience. Nephrol Dial and Transplant 2006; 21(5): 1348-54.

  5. Treviño BA. La insuficiencia renal crónica en México. 1ª. Ed. 2001. Editorial El Manual Moderno. 1-3.

  6. Informe mensual del Servicio de Nefrología del Hospital General Regional 25 del IMSS. 2004-2006.

  7. Prowant BF et al. Recommendations for exit care. International Society for Peritoneal Dialysis 1996; 16 (suppl 3): 94-9.

  8. Schmidt RJ et al. Noninfectious complications of peritoneal dialysis catheters. Up To Date 1999; 7(3).

  9. Gokal R et al. Peritoneal catheters and exit site practices toward optimum peritoneal access: 1998 Up date. Perit Dial Internat 1998; 18: 11-33.




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Rev Fac Med UNAM . 2007;50