title: A novel technique of catheter placement with fibrin glue to prevent pericatheter leakage and to enable no break-in period in peritoneal dialysis.
abstract: OBJECTIVE
  Pericatheter leakage is a catheter-related complication of peritoneal dialysis (PD). To prevent pericatheter leakage, a modified technique of PD catheter insertion with fibrin glue was performed in 19 children.
  
  
  METHODS
  At the time of PD catheter insertion, as much fibrin glue as possible was injected into the subcutaneous tissue along the tunneled segment of the catheter and then the skin was compressed.
  
  
  RESULTS
  There was no occurrence of pericatheter leakage and full PD could be initiated 1 day (median) after implantation.
  
  
  CONCLUSIONS
  This technique prevented pericatheter leakage completely even in smaller-weight infants and will enable initiation of full PD with no break-in period.
authors: Division of Pediatric Surgery, Department of Surgery, Kobe University Graduate School of Medicine, Kobe, Japan. Electronic address: chsmt@med.kobe-u.ac.jp.
authors: Chieko
authors: C
authors: Hisamatsu
authors: Division of Pediatric Surgery, Department of Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
authors: Kosaku
authors: K
authors: Maeda
authors: Division of Pediatric Surgery, Department of Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
authors: Yosuke
authors: Y
authors: Aida
authors: Department of Pediatric Surgery, Kakogawa West City Hospital, Kakogawa, Japan.
authors: Masao
authors: M
authors: Yasufuku
authors: Department of Pediatrics, Kobe University Graduate School of Medicine, Kobe, Japan.
authors: Takeshi
authors: T
authors: Ninchoji
authors: Department of Pediatrics, Kobe University Graduate School of Medicine, Kobe, Japan.
authors: Hiroshi
authors: H
authors: Kaito
authors: Department of Pediatrics, Kobe University Graduate School of Medicine, Kobe, Japan.
authors: Kandai
authors: K
authors: Nozu
authors: Department of Pediatrics, Kobe University Graduate School of Medicine, Kobe, Japan.
authors: Kazumoto
authors: K
authors: Iijima
authors: Division of Pediatric Surgery, Department of Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
authors: Eiji
authors: E
authors: Nishijima
mesh_terms: D058186:Acute Kidney Injury / Q000628:therapy; D000293:Adolescent; D002408:Catheters, Indwelling / Q000009:adverse effects*; D002648:Child; D002675:Child, Preschool; D004868:Equipment Failure; D005119:Extravasation of Diagnostic and Therapeutic Materials / Q000209:etiology / Q000517:prevention & control*; D005260:Female; D015718:Fibrin Tissue Adhesive / Q000627:therapeutic use*; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D010530:Peritoneal Dialysis / Q000295:instrumentation*; D013997:Time Factors; D014014:Tissue Adhesives / Q000627:therapeutic use; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D015718:Fibrin Tissue Adhesive; D014014:Tissue Adhesives
keywords: Break-in period; Catheter-related complication; Fibrin glue; Pericatheter leakage; Peritoneal dialysis