[The surgical problems of continuous ambulatory peritoneal dialysis: 3 years of experience].
OBJECTIVE
This study presents the surgical problems of CAPD catheter insertion and mechanical complications in 37 cases (39 peritoneal dialysis catheters inserted for CAPD), being our experience along a time period of 3 years.


METHODS
The catheters were of Tenckhoff-type, with double Dacron cuff (Fresenius Medicale Care). We used an open-type surgical procedure with spinal anaesthesia.


RESULTS
In all the 8 cases with previous abdominal interventions the catheters were functional. We found an early catheter obstruction only in two cases, by means of a "greater omentum fimbriae". In the third case a partial omentectomy was performed. In 1 patient with parietal granuloma and frequent peritonitis a new peritoneal catheter was inserted (with a new tegumentary outlet). Hernia was found in 1 patient and was successfully cured by means of surgical intervention. This patient continued the CAPD treatment. In 2 cases we interrupted the CAPD treatment (one renal transplant; one converted to hemodialysis). 25 patients had no catheter-related complications.


CONCLUSIONS
We wish to state that catheter occlusion and hernia must not lead to an abandon of CAPD treatment.
Tăranu
T
T
Clinica de Nefrologie, Facultatea de Medicină, Universitatea de Medicină şi Farmacie Gr. T. Popa, Iaşi.
Covic
A
A
Suditu
N
N
D002408:Catheters, Indwelling; D006801:Humans; D007431:Intraoperative Complications / Q000453:epidemiology; D010529:Peritoneal Cavity / Q000000981:diagnostic imaging / Q000601:surgery*; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D011183:Postoperative Complications / Q000453:epidemiology; D011859:Radiography