Association between different peritoneal dialysis catheter placement methods and short‐term postoperative complications
Abstract Background Considering that current peritoneal dialysis has its own shortcomings, In this study, the Seldinger technique was modified to explore the relationship between different catheter placement methods of peritoneal dialysis and short-term postoperative complications. Methods We retros...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2021-04-01
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| Series: | BMC Nephrology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12882-021-02340-y |
| _version_ | 1818561538418540544 |
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| author | Yibo Ma Shuiqing Liu Min Yang Yun Zou Dong Xue Yanping Liu Yufeng Wang Xiao Xie Hui Chen |
| author_facet | Yibo Ma Shuiqing Liu Min Yang Yun Zou Dong Xue Yanping Liu Yufeng Wang Xiao Xie Hui Chen |
| author_sort | Yibo Ma |
| collection | DOAJ |
| description | Abstract Background Considering that current peritoneal dialysis has its own shortcomings, In this study, the Seldinger technique was modified to explore the relationship between different catheter placement methods of peritoneal dialysis and short-term postoperative complications. Methods We retrospectively analyzed the data of 157 patients who received peritoneal dialysis in the Department of Nephrology of our hospital from January 2017 to December 2019. According to different catheter placement methods, the patients were divided into three groups: 111 cases of open surgery technique, 23 cases of Seldinger technique, and 23 cases of modified Seldinger technique (ultrasound-guided Veress needle puncture). The general data, laboratory indexes, and abdominal infection and catheter-related complications within one month postoperatively were collected. Results There were 48 (31.0 %) cases of complications in 157 patients within one month postoperatively, which were mainly catheter-related complications (45 cases, 29.0 %). The incidence of catheter tip peritoneal drift (catheter migration) in the three groups was 27.3 %, 39.1 %, and 9.1 %, respectively, with no significant difference between groups (P = 0.069). Univariate logistic regression analysis showed that the systolic blood pressure, history of abdominal and pelvic surgery, creatinine, and modified Seldinger technique were possible impact factors of catheter migration (P < 0.10). After fully adjusting for confounding factors, Compared with the open surgery group, the modified Seldinger method group significantly reduced the risk of catheter migration with an OR of 0.161 (95 % confidence interval: 0.027–0.961, P = 0.045); However, the difference between the Seldinger method group and the open surgery group was not significant, with an OR of 1.061 (95 % confidence interval: 0.308–3.649, P = 0.926). Curve fitting showed that the average incidence of catheter migration in the three groups was 27.3 % (95% CI: 15.9-42.7 %), 28.5 % (95% CI: 10.7-56.9 %), and 5.7 % (95% CI: 1.0-27.0 %); the modified Seldinger method has the lowest average incidence of catheter migration. Conclusions Modified Seldinger technique can significantly reduce catheter-related short-term complications after peritoneal dialysis, and it is especially effective in reducing the incidence of catheter migration. Modified Seldinger technique is a safe and feasible method for the placement of a peritoneal dialysis catheter. |
| first_indexed | 2024-12-14T00:52:09Z |
| format | Article |
| id | doaj.art-f85f613e21a34465a9eb451b8b461497 |
| institution | Directory Open Access Journal |
| issn | 1471-2369 |
| language | English |
| last_indexed | 2024-12-14T00:52:09Z |
| publishDate | 2021-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Nephrology |
| spelling | doaj.art-f85f613e21a34465a9eb451b8b4614972022-12-21T23:23:47ZengBMCBMC Nephrology1471-23692021-04-012211910.1186/s12882-021-02340-yAssociation between different peritoneal dialysis catheter placement methods and short‐term postoperative complicationsYibo Ma0Shuiqing Liu1Min Yang2Yun Zou3Dong Xue4Yanping Liu5Yufeng Wang6Xiao Xie7Hui Chen8Department of Ultrasound, the Third Affiliated Hospital of Soochow UniversityDepartment of Ultrasound, the Third Affiliated Hospital of Soochow UniversityDepartment of Nephrology, the Third Affiliated Hospital of Soochow UniversityDepartment of Nephrology, the Third Affiliated Hospital of Soochow UniversityDepartment of Urology, the Third Affiliated Hospital of Soochow UniversityDepartment of Ultrasound, the Third Affiliated Hospital of Soochow UniversityDepartment of Ultrasound, the Third Affiliated Hospital of Soochow UniversityDepartment of Ultrasound, the Third Affiliated Hospital of Soochow UniversityDepartment of Ultrasound, the Third Affiliated Hospital of Soochow UniversityAbstract Background Considering that current peritoneal dialysis has its own shortcomings, In this study, the Seldinger technique was modified to explore the relationship between different catheter placement methods of peritoneal dialysis and short-term postoperative complications. Methods We retrospectively analyzed the data of 157 patients who received peritoneal dialysis in the Department of Nephrology of our hospital from January 2017 to December 2019. According to different catheter placement methods, the patients were divided into three groups: 111 cases of open surgery technique, 23 cases of Seldinger technique, and 23 cases of modified Seldinger technique (ultrasound-guided Veress needle puncture). The general data, laboratory indexes, and abdominal infection and catheter-related complications within one month postoperatively were collected. Results There were 48 (31.0 %) cases of complications in 157 patients within one month postoperatively, which were mainly catheter-related complications (45 cases, 29.0 %). The incidence of catheter tip peritoneal drift (catheter migration) in the three groups was 27.3 %, 39.1 %, and 9.1 %, respectively, with no significant difference between groups (P = 0.069). Univariate logistic regression analysis showed that the systolic blood pressure, history of abdominal and pelvic surgery, creatinine, and modified Seldinger technique were possible impact factors of catheter migration (P < 0.10). After fully adjusting for confounding factors, Compared with the open surgery group, the modified Seldinger method group significantly reduced the risk of catheter migration with an OR of 0.161 (95 % confidence interval: 0.027–0.961, P = 0.045); However, the difference between the Seldinger method group and the open surgery group was not significant, with an OR of 1.061 (95 % confidence interval: 0.308–3.649, P = 0.926). Curve fitting showed that the average incidence of catheter migration in the three groups was 27.3 % (95% CI: 15.9-42.7 %), 28.5 % (95% CI: 10.7-56.9 %), and 5.7 % (95% CI: 1.0-27.0 %); the modified Seldinger method has the lowest average incidence of catheter migration. Conclusions Modified Seldinger technique can significantly reduce catheter-related short-term complications after peritoneal dialysis, and it is especially effective in reducing the incidence of catheter migration. Modified Seldinger technique is a safe and feasible method for the placement of a peritoneal dialysis catheter.https://doi.org/10.1186/s12882-021-02340-yPeritoneal dialysisCatheter placementComplicationCatheter migration |
| spellingShingle | Yibo Ma Shuiqing Liu Min Yang Yun Zou Dong Xue Yanping Liu Yufeng Wang Xiao Xie Hui Chen Association between different peritoneal dialysis catheter placement methods and short‐term postoperative complications BMC Nephrology Peritoneal dialysis Catheter placement Complication Catheter migration |
| title | Association between different peritoneal dialysis catheter placement methods and short‐term postoperative complications |
| title_full | Association between different peritoneal dialysis catheter placement methods and short‐term postoperative complications |
| title_fullStr | Association between different peritoneal dialysis catheter placement methods and short‐term postoperative complications |
| title_full_unstemmed | Association between different peritoneal dialysis catheter placement methods and short‐term postoperative complications |
| title_short | Association between different peritoneal dialysis catheter placement methods and short‐term postoperative complications |
| title_sort | association between different peritoneal dialysis catheter placement methods and short term postoperative complications |
| topic | Peritoneal dialysis Catheter placement Complication Catheter migration |
| url | https://doi.org/10.1186/s12882-021-02340-y |
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