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Perit Dial Int 27(5): 554-556 2007
© 2007 International Society for Peritoneal Dialysis
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Clinical Sciences

A SIMPLE METHOD TO PREVENT PERITONEAL DIALYSIS CATHETER TIP MIGRATION

Wen-Ming Chen and Chen-Li Cheng

Division of Urology, Department of Surgery, Taichung Veterans General Hospital, Taichung, Taiwan, Republic of China

Correspondence to: W.M. Chen, Division of Urology, Department of Surgery, Taichung Veterans General Hospital, 160 Section 3, Taichung-Kang Road, Taichung, Taiwan, R.O. China. wmchen{at}vghtc.gov.tw

{diamondsuit} Background: We report here a one-stitch fixation method that prevents catheter tip migration during implantation of the double-cuffed straight Tenckhoff catheter.

{diamondsuit} Methods: From July 2003 to September 2005, 38 patients with end-stage renal disease underwent implantation of the double-cuff straight Tenckhoff catheter for peritoneal dialysis by this method.

{diamondsuit} Results: No patient had catheter tip migration out of the true pelvis. No patient had pericatheter dialysate leakage or developed incisional hernia. Two patients (5.3%) experienced exit-site infection during the 2- and 5-month follow-up and they recovered well after wound care. Three patients (7.9%) developed peritonitis during the 3-day and 2- and 6-month follow-up; the conditions were controlled after antibiotic care. One patient (2.6%) experienced mechanical catheter obstruction during the 10-day follow-up due to omental wrapping; surgical revision was necessitated.

{diamondsuit} Conclusions: We believe that the method is an easy, safe, and effective technique for preventing catheter tip migration.

KEY WORDS: Tenckhoff catheter; migration.

Received 3 January 2007; accepted 4 April 2007.






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