Reduction of peritonitis with the rectus abdominis muscle flap in a CAPD patient.
An adolescent maintained on continuous ambulatory peritoneal dialysis (CAPD) for 8 years had relapsing peritonitis involving peritoneal catheter tunnel infections. We attempted catheter removal and replacement simultaneously, with the catheter covered cylindrically by a rectus abdominis muscle flap to prevent recurrent tunnel infections. During 3 years of follow-up, there have been no episodes of peritonitis involving tunnel infection. Our modified insertion technique can eradicate tunnel infection, thus reducing peritonitis.
Kagawa
K
K
Department of Plastic Surgery, Shizuoka General Hospital, 4-27-1, Kitaando, Shizuoka, 420-0881, Japan.
Park
S
S
Tokioka
K
K
Tanaka
H
H
Wada
N
N
Horinouchi
K
K
Takahashi
S
S
D000293:Adolescent; D006801:Humans; D008297:Male; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000009:adverse effects* / Q000379:methods; D010538:Peritonitis / Q000209:etiology / Q000517:prevention & control / Q000601:surgery*; D017568:Rectus Abdominis / Q000601:surgery*; D012008:Recurrence; D013524:Surgical Flaps