Experiences on Bedside Tenckhoff Catheter Implantation
Dhavee Sirivongs MD*, Laksamon Praderm MD*, Chitranon Chan-on MD*
Affiliation : *Division of Nephrology, Department of Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
Objective : To clarify the outcome of a bedside technique of peritoneal dialysis (PD) catheter implantation which is practiced
differently from worldwide guidelines in some points.
Material and Method: This retrospective study was conducted in end stage renal diseases (ESRD) patients treated with
chronic ambulatory peritoneal dialysis (CAPD). Catheter placement was initiated by the authors’ bedside technique comprising
no antibiotic prophylaxis, dry abdomen, and routinely right sided exit site as our protocol. All events within one month post-
implantation, such as tip mal-position, malfunction, infection, and bleeding were analyzed.
Results : One hundred and fourteen cases were participated with age, ranged from 14 to 78 yrs. Of the participating subjects,
38.5% was female and 60.52% was diabetes mellitus (DM). After 1 month, 113 out of 114 cases (99.1 %) accomplished
CAPD. Of these, 79.8 % had good tip position and function after the break-in period. Early mal-position and poor flow was
detected in 21 cases (18.4 %); 9 of them responded to laxative bowel stimulation while 12 cases needed surgical correction.
Exit-site infection and/or wound infection were found in 7.9%. The peritonitis rate was 2.63%. All cases with infection were
cured. Coagulase positive Staphylococcus aureus was the major causative organism.
Conclusion : Bedside Tenckhoff catheter implantation without antibiotic prophylaxis in dry abdomen is a safe modality for
selected ESRD patients.
Keywords : PD catheter implantation, Bedside catheter implantation, Out-patient PD catheter implantation, Tenckhoff catheter, Bedside implantation technique.
