A simple method to prevent peritoneal dialysis catheter tip migration

Abstract

◆Background: We report here a one-stitch fixation method that prevents catheter tip migration during implantation of the double-cuffed straight Tenckhoff catheter. ◆Methods: From July 2003 to September 2005, 38 patients with end-stage renal disease underwent implantation of the double-cuff straight Tenckhoff catheter for peritoneal dialysis by this method. ◆Results: No patient had catheter tip migration out of the true pelvis. No patient had pericatheter dialysate leakage or developed incisional, hernia. Two patients (5.3%) experienced exit-site infection during the 2- and 5-month follow-up and they recovered well after wound care. Three patients (7.9%) developed peritonitis during the 3-day and 2- and 6-month follow-up; the conditions were controlled after antibiotic care. One patient (2.6%) experienced mechanical catheter obstruction during the 10-day follow-up due to omental wrapping; surgical revision was necessitated. ◆Conclusions: We believe that the method is an easy, safe, and effective technique for preventing catheter tip migration. Copyright © 2007 International Society for Peritoneal Dialysis.