"PULL TECHNIQUE" AS A TECHNIQUE FOR REMOVAL OF PERITONEAL CATHETER: EXPERIENCE AT THE DOS DE MAYO NATIONAL HOSPITAL IN LIMA, PERU

E-Poster

https://storage.unitedwebnetwork.com/files/1099/b765d502bb1c6c47cbee262884d9a288.pdf

Abstract Title

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JUAN

Last Name *

LLUNCOR VÁSQUEZ

Co-author 1

KATIA OLGA TERESA HERNANDEZ TORRES juan.lluncor@upch.pe Hospital Nacional Dos de Mayo Lima Lima

Co-author 2

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Introduction

Since the 1990s, the technique of traction for the removal of peritoneal catheters was known; however, it was discontinued due to the appearance of abscesses and other infectious complications. It has regained importance and is recommended due to evidence of superiority in terms of bleeding, cost, pain, and operative time.

To evaluate the use of the traction technique for removing peritoneal catheters.

Methods

Data was collected from January to

Results

We evaluated 9 removals of PD catheters, out of which 1 had catheter rupture that required opening up to the subcutaneous plane. The bleeding was less than 5 cc. The average time for catheter removal was 2 minutes.

N° of patients	9
Mean age (years)	50
Sex (%)
-Male / Female	33%/66%
Etiology of Chronic Kidneay Disease
- Chronic Glomerulonephritis	2
- Lupic Nephritis	2
- Obstructive uropathy	2
- Nephroangioesclerosis	1
- Diabetic Renal Disease	2
Reason for removal
- Catheter Disfunction	4
- Peritonitis without tunnelitis	3
- Others	2
Peritoneal catheter dwell time (average in months)	8.9

Conclusions

No infection related to the retained cuff after extraction or any other condition related to the technique that could lead to patient deterioration was found. However, it is necessary to emphasize that these patients need to be followed up in the medium and long term to evaluate the safety and survival after this technique, with the possibility of incorporating it into the standards for peritoneal catheter removal.

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