Experience with 150 consecutive permanent peritoneal catheters in patients on CAPD

Alberto M Odor, L. L P Alessio-Robles, I. J. Leuchter

Research output: Contribution to journalArticle

14 Scopus citations

Abstract

From 1978 to 1984, 150 consecutive CAPD catheters have been implanted in our institution. Early (first-week) and late (up to 44 months) follow-up is presented with special attention to possible surgical related complications. A paramedian incision and an original antileakage technique were used in 95% of the catheters. With this combination, hernia and leakage rates are very low (0.7%). With the patient-training program, described here, and the installation of the catheter in the outpatient department, peritonitis during the first week dropped from 20% to 0% (p < 0.05). Previous abdominal operations significantly increase early failures (p < 0.05). Skin exit-site infections were not seen in our patients. The most frequent long-term complications were catheter colonization, i.e. recurrent peritonitis with the same organism, and repeated peritonitis episodes leading to obstruction. The one year actuarial catheter survival is 40%. This paper discusses factors responsible for as well as possible improvement of this low figure.

Original languageEnglish (US)
Pages (from-to)226-229
Number of pages4
JournalPeritoneal Dialysis Bulletin
Volume5
Issue number4
StatePublished - 1985
Externally publishedYes

ASJC Scopus subject areas

  • Nephrology

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    Odor, A. M., Alessio-Robles, L. L. P., & Leuchter, I. J. (1985). Experience with 150 consecutive permanent peritoneal catheters in patients on CAPD. Peritoneal Dialysis Bulletin, 5(4), 226-229.