The peritoneoscopic implantation of a polyurethane percutaneous access device for peritoneal dialysis. Preliminary experience.
The short-term experience with peritoneoscopic implantation of eight Dermaport devices is discussed. These eight devices were implanted using local anesthesia and utilizing a modification of the Y-TEC method of catheter implantation. Excellent immediate function was observed universally allowing catheter use for dialysis and good skin-device interface; however dialysate leakage occurred within 2 to 4 weeks in four patients. Lack of permanent bonding between the catheter and the adjustable proximal cuff, resulting in suboptimal or slow ingrowth of tissue around it, appears to be the cause of this phenomenon.
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Division of Nephrology and Hypertension, Henry Ford Hospital, Detroit, MI 48202.
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002408:Catheters, Indwelling; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D010530:Peritoneal Dialysis / Q000295:instrumentation*; D011140:Polyurethanes; D019736:Prostheses and Implants
D011140:Polyurethanes