Percutaneous continuous ambulatory peritoneal dialysis (CAPD) catheter insertion – a preferred option for developing countries

Santosh Varughese, Madhivanan Sundaram, Gopal Basu, Veerasamy Tamilarasi, George Tharayil John

Research output: Contribution to journalArticleResearchpeer-review

11 Citations (Scopus)

Abstract

Continuous ambulatory peritoneal dialysis (CAPD) as a modality of renal replacement therapy in patients with chronic kidney disease stage 5 (CKD 5) has the advantage of being a home-based therapy and is a preferred option in patients with inadequate access to haemodialysis and transplantation facilities and in those infected with HIV and other blood-borne viruses. While open surgical CAPD catheter placement has been the conventional mainstay of access placement, percutaneous techniques are being increasingly used with similar success rates. We report our experience over the past two years with blind insertion of the swan neck percutaneous double-cuffed Tenckhoff CAPD catheter using a trocar. There was considerable decrease in hospital stay and surgical costs. There was only one major complication of injury to the jejunal mesenteric artery requiring emergency laparotomy in one patient. In three patients, drain of peritoneal fluid was inadequate, presumably due to omental wrapping around the in-dwelling catheter, and required surgical removal of the omentum.

Original languageEnglish
Pages (from-to)104-105
Number of pages2
JournalTropical Doctor
Volume40
Issue number2
DOIs
Publication statusPublished - Apr 2010
Externally publishedYes

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