Coiled Tenchoff Catheter Insertion For CAPD Using Open Dissection Technique By Nephrologists-A Single Center Experience

A successful PD program is dependent on the proper placement of the permanent PD catheters, knowledge of the placement techniques and complications. Study outcomes of 81 Coiled CAPD consecutive Tenckhoff catheter insertions by our nephrologists using the open dissection surgical technique were reported.The major cause of catheter technique failure was infectious complications secondary to peritonitis 9.8 %. Peri operative complications 3.7% bleeding, no bowel injury were observed. Mechanical Complications like 1.23% drainage failure, 2.4% catheter migration,2.4% fluid leak were observed. Infective complications like 1.23% wound site, 1.23% exit site, no tunnel, and no peritonitis were observed immediate post operative. But 27 episodes of peritonitis with periods of 17.4 t 1.6months peritonitis were observed. Catheter survival rates at 6 months, 1 and 2 years were 94.3 %( 66/71), 90.7 %( 59/65) and 82 D/0( 41/50) respectively. Catheter insertion by trained nephrologists is dramatically increases penetration for Peritoneal dialysis. We reported an encouraging outcome for coiled Tenckhoff catheters inserted by experienced nephrologists in an open surgical manner, with less peri-operative, mechanical, bleeding complications with 100% technical success of placement comparable to trained surgeon and a good catheter survival rate.