Park MS, Lee EY, Cha MK, Kim JH, Song KI, Han DC, Hwang SD,
Moon C, Lee HB
Effect of prolonged subcutaneous implantation of peritoneal
catheters in peritonitis rate during CAPD
International Society of Blood Purification
Blood Purif
(Sep) 13:(supp.1)32 1995
In a prospective randomized study, Park et al followed infectious
complications in 59 patients
randomized to the Moncrief catheter approach vs conventional insertion
technique. The
Moncrief approach leaves the external segment of the catheter implanted
subcutaneously for 6
weeks prior to externalization and bag exchanges. The conventional approach
externalizes the
catheter at the time of initial placement. The patients with conventional
placement did not
perform exchanges until 6 weeks after placement. Half of each group used Y
connectors and
half used straight connectors. Age, sex, and presence of diabetes was equal.
The observation
period was about three years on average.
The average infection-free peritonitis interval was significantly lower in
the Moncrief approach
group regardless of Y or straight connectors (14.8 vs 8.8 months, p <.05),
and the average
infection-free interval was longest in the Y connector Moncrief approach
group (18.1 months)
and lowest in the straight connector conventional placement group (7.5
months).
Thie results support utilization of the Moncrief approach to PD catheter
placement.
(T.A. Golper)
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International Society of Blood Purification
Basic peritoneal dialysis :
PD catheters
Basic peritoneal dialysis :
Peritonitis and exit-site infection