The effect of modified peritoneal dialysis catheter placement on the catheter related complications

Abstract

Objective To explore the modified peritoneal dialysis catheter placement whether reducing the incidence of catheter related complications, and improving the quality of peritoneal dialysis. Methods From December 2014 to December 2015, 145 patients with end-stage renal disease undergoing peritoneal dialysis were admitted in our hospital. They were randomly divided into observation group (71 cases) and control group (74 cases). The catheter related complications 1 year after operation which contained the incidence of catheter migration, omentum enclosing, blood clots or cellulose obstruction, .leakage, peritonitis, and inflammation of the tunnel and exit-site between two groups were compared. Results There were 3 cases (4.22%) with catheter migration, 2 cases (2.81%) wrapped in omentum in the observation group with modified peritoneal dialysis catheter, whereas 10 cases (13.51%) with catheter migration, 5 cases (6.75%) wrapped in omentum in the control group. There were significant statistical differences between two groups (P<0.05). During 1 year follow-up, the incidence of total catheter related complications in the observation group and control group was 22.53% and 40.55%, respectively, with significant statistical differences (P<0.05). Conclusions The modified peritoneal dialysis operation can effectively reduce catheter-related complications and improve the quality of peritoneal dialysis. It is simple, convenient, and safe in the primary hospitals practice, with certain clinical utility. Key words: Peritoneal Dialysis; Catheters, Indwelling