Paramedian versus midline incision for the insertion of permanent peritoneal dialysis catheters. A randomized clinical trial.
A randomized trial was conducted to examine the influence of the site of catheter insertion on the mechanical complications associated with the use of peritoneal dialysis catheters (pericatheter leakage/herniation and tip migration). 37 patients requiring a dialysis catheter for future CAPD were randomized to insertion by either a midline (prior standard approach) or a lateral incision (new approach). Thirteen catheters (6 midline, 7 lateral) failed for mechanical reasons--mainly irreversible tip migration. The one year estimated catheter survival without mechanical failure was found to be similar in the two groups: midline (59%) and lateral (51%), (0.4 less than p less than 0.5).
Ejlersen
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E
Department of Nephrology, Herlev University Hospital, Copenhagen, Denmark.
Steven
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Løkkegaard
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H
D002404:Catheterization / Q000379:methods*; D004868:Equipment Failure; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy; D008875:Middle Aged; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000009:adverse effects; D016032:Randomized Controlled Trials as Topic