Implantation du cathéter de dialyse péritonéale: technique et complications

Abstract

The purpose of our study was to report catheter implantation technique for the treatment of peritoneal dialysis as well as the immediate complications of this surgical procedure. We conducted a retrospective study in the Department of Urology at the Hospital Center University Aristide Le Dantec. The study focused on the medical records of patients who had undergone catheter implantation for the treatment of peritoneal dialysis over the period January 2010-June 2016. Data from the medica records of 114 patients were collected. The average age of patients was 45.9 years; there was a female predominance (64%). Double-cuff Tenckhoff catheter was implanted in all patients. Surgery was performed in all patients on an outpatient basis under local anesthesia. The implantation was made by an urological surgeon in 34% of cases. Paramedian laparotomy was the only surgical technique used. Radiography of abdomen without preparation was systematically performed in all patients on the 1st postoperative day. Immediate surgical complications were reported in 17 patients (14.9%). The incorrect position of the catheter was the most common complication. The treatment of these complications was based on surgery in 12 patients. Catheter implantation for peritoneal dialysis by open surgery is simple and fast. It seems well adapted to countries with limited technical equipment.