Exteriorizing the Outer Cuff to Treat Intractable Exit Site Infection and Tunnel Infection in Peritoneal Dialysis Cases: A Single Institute Experience

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Author Info

Ching Shya Yong Juiting Chang Tsung I Hung Wei Ting Chang Yun Chen Tsai

Corresponding Author

Tsung I Hung
Department of General Surgery, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan

A B S T R A C T

Peritoneal dialysis (PD) is an important treatment method for patients with end stage renal disease. Since its introduction in 1975, clinical studies have shown that PD can improve patient survival, retain residual renal function, and lower the risk of infection. It can also reduce financial stress in the growing population with end stage renal disease. However, PD has limitations, mainly technique failures. Of these, catheterrelated infection is a major cause of catheter failure in PD. We reviewed the medical records of 986 PD patients from 2008 to 2018 at our hospital. The patients with intractable tunnel and exit site infection received exteriorization of the outer cuff and cuff shaving. The favourable outcomes observed recommend this treatment for PD patients whose catheter infection is not well controlled.

Article Info

Article Type

Case Report

Publication history

Received: Wed 11, Mar 2020
Accepted: Sat 04, Apr 2020
Published: Mon 06, Apr 2020

Copyright

© 2023 Tsung I Hung. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.SCR.2020.03.08