Experience with the Toronto Western Hospital Permanent Peritoneal Catheter

Author:

Khanna Ramesh1,Izatt Sharron1,Burke Debby1,Mathews Raymond1,Vas Stephen1,Oreopoulos Dimitrios G.1

Affiliation:

1. Departments of Medicine, Surgery and Microbiology, Toronto Western Hospital and University of Toronto.

Abstract

Prospective controlled trial with Tenckhoff, Toronto Western Hospital and Goldberg catheter showed a lower incidence of catheter-tip dislodgement from the pelvis with the Toronto Western Hospital catheter. A 1982 retrospective review of experiences, revealed significantly better one and two year catheter survival with the Toronto Western Hospital catheter #2 compared to the straight Tenckhoff catheter inserted at the bed side but not compared to the surgically inserted Tenckhoff catheter. Early dialysate leak was a significant compilation observed with the use of all catheters. Lateral placement of catheters has practically eliminated this complication. Catheter exit site infection now is the major cause of catheter failure.

Publisher

SAGE Publications

Subject

Nephrology,General Medicine

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