Abstract
Background: Urgent-Start Peritoneal Dialysis (USPD) is increasingly used worldwide and represents a safe, convenient and cost-effective method to initiate dialysis. However, good catheter insertion techniques are imperative to avoid postoperative complications. While percutaneous catheter insertion by Seldinger technique is considered a safe method with few post-operative complications, comparisons with surgical operation technique are needed, especially in China, where there a few reports on the outcome of percutaneous catheter insertion by Seldinger technique in USPD patients.
Highlights
Urgent-start peritoneal dialysis (USPD), defined as initiation of Peritoneal Dialysis (PD) therapy within two weeks after PD catheter insertion [1,2], is increasingly accepted by nephrologists over recent years [3,4] as an effective and cost-saving approach [5] for initiating dialysis treatment in End-Stage Renal Disease (ESRD) patients
The aim of the study is to retrospectively analyze collected data about the above-mentioned techniques from one center where Urgent-Start Peritoneal Dialysis (USPD) was applied in almost all patients (99%) initiating PD, and to compare the rate of complications between surgical operation and percutaneous catheter insertion performed by the same nephrologists in patients needing USPD
The outcomes in USPD patients who received of PD catheters using percutaneous catheter insertion by Seldinger technique and conventional surgical PD insertion technique did not differ in terms of duration of operation, break-in period, and post-operative complications, suggesting that the percutaneous Seldinger technique is a safe and convenient technique
Summary
Urgent-start peritoneal dialysis (USPD), defined as initiation of Peritoneal Dialysis (PD) therapy within two weeks after PD catheter insertion [1,2], is increasingly accepted by nephrologists over recent years [3,4] as an effective and cost-saving approach [5] for initiating dialysis treatment in End-Stage Renal Disease (ESRD) patients. Since percutaneous catheter insertion is easy to perform, time-saving, less costly and was reported to have less post-operative complications in recent years, it is increasingly used by nephrologists for patients initiating PD [9,10]. While percutaneous catheter insertion by Seldinger technique is considered a safe method with few post-operative complications, comparisons with surgical operation technique are needed, especially in China, where there a few reports on the outcome of percutaneous catheter insertion by Seldinger technique in USPD patients
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