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A modified laparoscopic peritoneal dialysis insertion technique, the 'one scar technique' can minimise short and long term complications: A retrospective cohort study

Lookup NU author(s): Venkatesh Kanakala

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Abstract

Introduction: Peritoneal dialysis is a renal replacement therapy that has advanced in technique over the last few decades. In this study, we describe a novel method for laparoscopic peritoneal dialysis catheter insertion and fixation and compare its outcome to standard laparoscopic insertion technique with better cosmetic outcome.Method: Peri-operative and follow up data was collected retrospectively for 184 patients undergoing peritoneal dialysis catheter insertion from September 2012 to September 2018.Results: The post-modification technique showed no difference in catheter blockage rates, incisional hernia or catheter replacement rates. A significant difference was found in catheter migration rate and exit site infections and overall complication rates, found to be lower using the new technique.Conclusion: A modification of the laparoscopic peritoneal dialysis technique is superior to standard laparoscopic insertion with a cosmetically more appealing outcome due to one visible.

Publication metadata

Author(s): Musbahi A, Kanakala V

Publication type: Article

Publication status: Published

Journal: The Journal of Vascular Access

Year: 2021

Volume: 22

Issue: 5

Pages: 744-748

Print publication date: 01/09/2021

Online publication date: 30/09/2020

Acceptance date: 30/09/2020

ISSN (print): 1129-7298

ISSN (electronic): 1724-6032

Publisher: Sage Publications Ltd.

URL: https://doi.org/10.1177/1129729820961970

DOI: 10.1177/1129729820961970

PubMed id: 32993444

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