Author/Authors :
ESEN GÜLLÜ, Bennur sevket Yılmaz Eğitim ve AraĢtırma Hastanesi - Nefroloji Kliniği, Türkiye , KAHVECĠOGLU, Serdar sevket Yılmaz Eğitim ve AraĢtırma Hastanesi - Nefroloji Kliniği, Türkiye
Abstract :
Objective: Patients with end-stage renal disease (ESRD) require renal replacement treatment (RRT). Peritoneal dialysis (PD) is a modality of dialysis which involves a silicone tube inserted in the abdominal cavity, called the catheter, and with special solutions, called dialysate, administered to the abdominal cavity through the catheter. Peritoneal catheters may be introduced via surgical or percutaneous procedures. The present study aims to compare the complications and dialysis efficacy by catheter insertion methods in patients on PD being monitored in our polyclinic. Materials and methods: A total of 23 patients on PD, 11 males and 12 females, who had ESRD diagnosed for 41.4 ± 15 months, were included in this study. These patients were divided into two groups by the method of catheter insertion, e.g., via the laparoscopic surgery (group 1, n: 6) or percutaneously under local anesthesia (group 2, n: 13). Complications following the respective procedure in each group were compared and patients‟ Kt/V values were studied to determine dialysis efficacy. No significant difference was identified in dialysis efficacy (Kt/V) between the two catheter insertion methods (p 0.05). Results: There was an increased incidence of complications in the group of patients whose catheters were inserted via the surgical procedure, although the two groups were matched in terms of accompanying diseases. Conclusion: This result suggests that PD catheter insertion can be performed conveniently by a nephrology clinic team with adequate training and experience and that this is a procedure with fewer complications, provided that the procedure is performed on well-selected patients.
