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Nursing Diagnosis & Midwifery 2018
S e p t e m b e r 1 0 - 1 1 , 2 0 1 8
P r a g u e , C z e c h R e p u b l i c
Page 92
Journal of Nursing and Health Studies
ISSN: 2574-2825
E u r o S c i C o n E v e n t o n
Nursing Diagnosis &
Midwifery
Objective:
To assess laparoscopic peritoneal dialysis (PD) catheter placement techniques and complications among End Stage Renal
Disease (ESRD) patients in Prince Sultan Military Medical City (PSMMC).
Methods:
We performed a retrospective review of patients who underwent laparoscopic PD catheter placement with tunneling +/-
adhesionlysis and omentopexy, between Jul’ 2003 and Jun’ 2013, by a single surgeon at Prince Sultan Military Medical City (PSMMC),
Riyadh, Kingdom of Saudi Arabia.
Results:
222 patients underwent laparoscopic PD catheter insertion during the study period. Late complications encountered include:
tuberculosis (TB) peritonitis in 9 patients (4%), catheter dysfunction in 13 patients (6%), adhesions in 2 patients (1%), bacterial peritonitis
in 25 patients (11%), leakage in 15 patients (7%), and 16 patients (7%) developed an umbilical hernia. There was superficial fungal infection
around the catheter exit in one patient (0.45%), and exit-site infection in 7 patients (3%). The catheters remained active since first insertion
in 33 patients (15%), and were reinserted in 7 patients (3%). 41 patients (23%) underwent renal transplantation, and 82 (37%) patients were
switched to hemodialysis. 11 patients (5%) were lost for follow up, and 45 patients (20%) died because of their chronic illness. Seven (28%)
of the 25 patients with bacterial peritonitis were cured with conservative management. There was no procedure related mortality or bleeding.
Conclusions:
Laparoscopic PD catheter insertion is safe and effective. The utilization of this technique provides a low rate of PD catheter
complications. However, we encountered a noticeable rate of peritoneal tuberculosis in our patients.
shffns@hotmail.comLaparoscopic peritoneal dialysis catheter
placement: ten years' experience at Prince Sultan
Military Medical City
SaudAl-Omani, AbdBalla, K Alswanae, A alasmary, Bandar
Safar, Mohammad Al-Jundobi, Nou/Yassin, HelayelAlmodhai-
beri, Ghadah A/slwail, Ayed Mutairi, Faleh Alomani
Prince Sultan Military Medical City, Saudi Arabia
J Nurs Health Stud 2018 Volume: 3
DOI: 10.21767/2574-2825-C4-012