title: Comparison of the Seldinger technique and surgical technique in Tenckhoff catheter insertion in CAPD patients: a single center experience.
abstract: OBJECTIVE
  To compare clinical outcomes of catheter placement between surgical technique and Seldinger technique, including catheter survival and early post-operative complications.
  
  
  METHODS
  This retrospective study was conducted in Maharaj Nakhon Si Thammarat Hospital, a tertiary-center hospital in southern part of Thailand. Three-year data, during October 2007-2010, were retrieved from medical records and hospital database. Early post-operative complications, including major bleeding, peritoneal leakage, and peritonitis rate, and long-term outcome were assessed.
  
  
  RESULTS
  One hundred forty-nine and 56 out of 205 patients were inserted Tenckhoff catheter by surgical technique and Seldinger technique, accordingly. The average age was 49.8 years old. Sixty percent of them were male. Neither of early postoperative complication and long-term outcome was found to have significant difference. However, patients with surgical technique received more topical antibiotic [15 (10.0%) vs. 0 (0%), p = 0.014] and trended to have more episode of early postoperative peritonitis [15 (10.1%) vs. 3 (5.4%)p = 0.288].
  
  
  CONCLUSIONS
  Although Seldinger technique is more feasible for practical nephrologists and less time consumption; the success, early post-operative complications, and long term outcome are comparable with surgical technique. The surgeons or nephrologists who perform catheter placement should be aware of catheter-related infection, especially in the first few weeks.
authors: Department of Medicine, Maharaj Nakhon Si Thammarat Hospital, Nakhon Si Thammarat, Thailand.
authors: Kamol
authors: K
authors: Khositrangsikun
authors: Wipapat
authors: W
authors: Chujohn
authors: Chavasak
authors: C
authors: Kanokkantapong
authors: Talerngsak
authors: T
authors: Kanjanabuch
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002404:Catheterization / Q000379:methods*; D002408:Catheters, Indwelling; D004868:Equipment Failure; D005260:Female; D006801:Humans; D053208:Kaplan-Meier Estimate; D008297:Male; D008875:Middle Aged; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000009:adverse effects / Q000379:methods*; D010537:Peritoneum / Q000601:surgery; D011183:Postoperative Complications; D012189:Retrospective Studies; D013785:Thailand