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Year : 2018  |  Volume : 28  |  Issue : 4  |  Page : 265--272

Peritoneal dialysis catheter insertion by surgical minilaparotomy: Outcome analysis between nephrologist and surgeon

PM Dogra1, AK Hooda1, G Shanmugraj1, S Kumar2 
1 Department of Nephrology, Command Hospital, Kolkata, West Bengal, India
2 Department of Medicine, Command Hospital, Kolkata, West Bengal, India

Correspondence Address:
P M Dogra
Department of Nephrology, 2nd Floor, MH Jalandhar, Nalwa Road, Jalandhar - 144 005, Punjab
India

Surgical minilaparotomy technique of Tenckhoff catheter placement is rarely practiced by nephrologists. There is a scarcity of data comparing technique and outcomes of surgically inserted peritoneal dialysis catheters by surgeon and nephrologist. We retrospectively analyzed 105 Tenckhoff catheters inserted by surgical minilaparotomy (”S” [surgeon], n = 43 and “N” [nephrologist], n = 62) in end-stage renal disease. Comparative analysis of surgical technique, survivals, and complications between both groups was done. “N” group observed two major advantages; shorter break-in (P < 001) and early continuous ambulatory peritoneal dialysis rehabilitation. Cumulative catheter experience was 1749 catheter-months: 745 and 1004 catheter-months in “S” and “N” groups, respectively. “N” group had a better overall catheter and patient survival, and a statistically insignificant mechanical complications, seen mostly in obese and post-abdominal surgery patients, without fatality or catheter loss. Peritonitis rates (P = 0.21) and catheter removal due to refractory peritonitis (P = 0.81) were comparable. The technique used is practical and aids early break-in, yields better results, and later on, helps in easy and uncomplicated PDC removal as and when indicated. Mechanical complications, mostly bleeding, were managed conservatively without any catheter or patient loss. This method should be encouraged among nephrologists and nephrology residents.

How to cite this article:
Dogra P M, Hooda A K, Shanmugraj G, Kumar S. Peritoneal dialysis catheter insertion by surgical minilaparotomy: Outcome analysis between nephrologist and surgeon.Indian J Nephrol 2018;28:265-272

How to cite this URL:
Dogra P M, Hooda A K, Shanmugraj G, Kumar S. Peritoneal dialysis catheter insertion by surgical minilaparotomy: Outcome analysis between nephrologist and surgeon. Indian J Nephrol [serial online] 2018 [cited 2019 May 26 ];28:265-272
Available from: http://www.indianjnephrol.org/article.asp?issn=0971-4065;year=2018;volume=28;issue=4;spage=265;epage=272;aulast=Dogra;type=0