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Efficacy and safety of removing peritoneal dialysis catheters using the pull technique

  • Nephrology - Original Paper
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Abstract

Purpose

To study the efficacy and safety of peritoneal dialysis (PD) catheter removal using the pull technique.

Methods

We conducted a retrospective analysis of 36 patients in whom the pull technique was used to remove a PD catheter. We evaluated the efficacy, safety, and health economic benefits of this technique by analyzing the pain score, duration of the procedure, complications during or after the procedure, and cost.

Results

The mean age (± standard deviation) of the 36 patients was 51 ± 14 years involving 27 males and 9 females with a mean body mass index was 23.4 ± 2.6. The mean duration of PD was 28 months (range 4–96 months). The site of the pull technique for peritoneal dialysis catheter removal was at the bedside or in the treatment room, with local anesthesia or no anesthesia. The mean duration of the procedure (from anesthesia to complete removal of the PD catheter) was 5–15 min. Only one patient experienced catheter rupture and no patients developed procedural or post-procedural bleeding or abdominal wall leakage. Infection did not occur at the inner or outer cuffs, tunnel, or outlet. Pain scores analyzed by a 10-point visual analogue scoring technique both immediately and 24 h after the procedure were 3.5 ± 1.7 and 1.2 ± 0.8, respectively.

Conclusions

The pull technique is simple to perform, takes a short time, results in few complications and small wounds, causes only mild pain, enables fast recovery, and results in low medical costs.

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Data availability

The data that support the findings of this study are available from the corresponding author upon reasonable request.

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Acknowledgements

We thank LetPub (www.letpub.com) for linguistic assistance and pre-submission expert review.

Funding

This study was supported by the National Key R&D Programmes of China (2018YFC0114503).

Author information

Authors and Affiliations

  1. Henan Provincial Key Laboratory of Kidney Disease and Immunology, Department of Nephrology, Peritoneal Dialysis Center, Henan Provincial Clinical Research Center for Kidney Disease, Henan Provincial People’s Hospital, Zhengzhou University People’s Hospital, Zhengzhou, China

    Lina Zhang, Xu Ma, Yanping Zheng, Suge Tian, Jing Zhang, Lei Yan, Yue Gu & Fengmin Shao

Authors
  1. Lina Zhang
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  2. Xu Ma
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  3. Yanping Zheng
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  4. Suge Tian
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  5. Jing Zhang
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  6. Lei Yan
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  7. Yue Gu
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  8. Fengmin Shao
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Contributions

All of the authors contributed to the study conception and design. Material preparation and data collection and analysis were performed by XM, YZ, ST, JZ, LY, and YG. The first draft of the manuscript was written by LZ and edited by FS. All of the authors commented on previous versions of the manuscript. All of the authors read and approved the final manuscript.

Corresponding authors

Correspondence to Yue Gu or Fengmin Shao.

Ethics declarations

Conflict of interest

The authors declare that they have no conflicts of interest.

Ethical approval

The study was approved by the Medical Ethics Committee of Henan Provincial People's Hospital, and the ethical approval number was (2021)LunShen#154.

Informed consent

Written informed consent was obtained from the patients for their anonymized information to be published in this article.

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Zhang, L., Ma, X., Zheng, Y. et al. Efficacy and safety of removing peritoneal dialysis catheters using the pull technique. Int Urol Nephrol 56, 1129–1135 (2024). https://doi.org/10.1007/s11255-023-03761-4

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  • DOI: https://doi.org/10.1007/s11255-023-03761-4

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