Merit of the cuff-shaving procedure in children with chronic infection

Pediatric Nephrology : Journal of the International Pediatric Nephrology Association
Atsunori YoshinoHideo Nakai

Abstract

Catheter replacement and cuff-shaving are per-formed as a surgical treatment against tunnel infection(TI) in patients on chronic peritoneal dialysis. The efficacy of catheter replacement is well established, but that of cuff-shaving is not. For the purpose of evaluating the efficacy of cuff-shaving, we compared the time interval between each procedure and subsequent TI. In order to perform this comparison, we reviewed data from 32 cuff-shaving procedures and 29 catheter replacement procedures at Tokyo Metropolitan Kiyose Children's Hospital in the period from 1 March 1991 to 1 May 2001, retrospectively. There was no significant difference in the time interval between each procedure and subsequent TI(P=0.284). The incidence of recurrence was no more than 12.5% for the cuff-shaving procedures. The incidence of peritonitis due to post-surgery TI with the cuff-shaving procedures was 9.3% and 6.8% with the replacement procedure (P=0.725). There was no significant variation in time interval to post-cuff-shaving TI according to the reason for the cuff-shaving procedure. In conclusion,cuff-shaving may be worth considering for TI in adequately selected patients.

References

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Citations

Jul 3, 2009·Pediatric Surgery International·Francesco MacchiniAlberto Edefonti
Aug 8, 2012·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Bradley A WaradyFranz Schaefer
Oct 9, 2014·Surgical Endoscopy·Stephen HaggertyUNKNOWN SAGES Guidelines Committee
Apr 1, 2017·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Cheuk-Chun SzetoEdwina A Brown
Jul 16, 2010·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Philip Kam-Tao LiUNKNOWN International Society for Peritoneal Dialysis
Sep 7, 2016·Seminars in Dialysis·Andrzej RatajczakAdam Studniarek

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