title: Complications of permanent catheter implantation for peritoneal dialysis: incidence and risk factors.
abstract: We reviewed the incidence and risk factors for complications after insertion of permanent catheters for peritoneal dialysis (PD). We implanted 192 peritoneal catheters in 137 patients over ten years. Fifty-three complications were observed in 50 catheters (27.6%) implanted in 42 patients (30.6%): malposition or omental entrapment (13%), dialysate leak (8.9%), hemoperitoneum (3.6%), peritonitis (1%), surgical wound infection (0.5%), and chylous ascites (0.5%). The only significant risk factors for a complicated insertion were previous abdominal surgery, particularly if it affected the peritoneal membrane, and early use of the catheter after implantation (< 5 days), independent of surgical or closed insertion.
authors.affiliation: Nephrology Unit, Hospital Juan Canalejo, A Coruña, Spain.
authors.forename: T
authors.initials: T
authors.lastname: García Falcón
authors.forename: A
authors.initials: A
authors.lastname: Rodríguez-Carmona
authors.forename: M
authors.initials: M
authors.lastname: Pérez Fontán
authors.forename: C
authors.initials: C
authors.lastname: Fernández Rivera
authors.forename: P
authors.initials: P
authors.lastname: Bouza
authors.forename: I
authors.initials: I
authors.lastname: Rodríguez Lozano
authors.forename: F
authors.initials: F
authors.lastname: Valdés
mesh_terms: D002408:Catheters, Indwelling / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010530:Peritoneal Dialysis / Q000009:adverse effects*; D012307:Risk Factors