An analysis of the "Half-Perc" versus open surgical placement method for a peritoneal dialysis catheter: a non-inferiority cohort study.

BMC Nephrology
Difei ZhangFuhua Lu

Abstract

Most end-stage renal disease (ESRD) patients undergo open surgical techniques for peritoneal dialysis (PD) catheter placement. An alternative method to PD catheter implantation is the half-percutaneous ("Half-Perc") technique based on a modified trocar that is performed by a nephrologist. The single-center, retrospective, observational, cohort study presented here aimed to compare the effects of the "Half-Perc" technique with the traditional open surgery on peritoneal catheter insertion. From January 2015 to January 2018, 240 ESRD patients who received initial PD catheter placement were divided into two groups based on the "Half-Perc" technique or open surgery. All patients were followed up for 365 days or until loss of initial PD catheter or death. Prism 5 software was used to analyze baseline characteristics, operation-related parameters, mechanical complications and clinical outcomes. The "Half-Perc" technique showed shorter operation time, shorter incision length, lower postoperative pain scores and quick initiation of the PD program compared to the open surgery. After the 365-day follow-up, the "Half-Perc" group showed a higher rate of catheter dysfunction (4% versus 0.9%) that was corrected by conservative treatment in mo...Continue Reading

References

Dec 1, 1990·American Journal of Surgery·M C SandersonW E Haun
Jan 29, 2002·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Nic VeysNorbert Lameire
Dec 19, 2002·Techniques in Vascular and Interventional Radiology·Christos S Georgiades, Jean-Francois H Geschwind
Mar 25, 2009·American Journal of Surgery·John H Crabtree, Raoul J Burchette
Jan 19, 2010·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·John H Crabtree
Sep 11, 2010·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Kai Ming Chow, Cheuk-Chun Szeto
Mar 29, 2011·Seminars in Nephrology·Nasim Shahbazi, Brendan B McCormick
Oct 9, 2014·Surgical Endoscopy·Stephen HaggertyUNKNOWN SAGES Guidelines Committee
Dec 3, 2014·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Xueqing Yu, Xiao Yang
Feb 6, 2017·Seminars in Nephrology·John H Crabtree, Kai-Ming Chow
Apr 28, 2019·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·John H CrabtreeFrank J M F Dor
May 10, 2019·Clinical Journal of the American Society of Nephrology : CJASN·Cheuk-Chun Szeto, Philip Kam-Tao Li
Sep 29, 2019·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Htay Htay, David W Johnson

❮ Previous
Next ❯

Citations

Nov 17, 2020·Journal of Nephrology·Stepan M EsagianKonstantinos P Economopoulos

❮ Previous
Next ❯

Methods Mentioned

BETA
cesarean section

Software Mentioned

Prism5
GraphPad

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.