Ching Shya  Yong,Juiting  Chang,Tsung I Hung,Wei Ting  Chang,Yun Chen  Tsai,
Exteriorizing the Outer Cuff to Treat Intractable Exit Site Infection and Tunnel Infection in Peritoneal Dialysis Cases: A Single Institute Experience
Surgical Case Reports
2020
2613-5965
http://dx.doi.org/10.31487/j.SCR.2020.03.08
https://www.sciencerepository.org/exteriorizing-the-outer-cuff-to-treat-intractable-exit-site-infection_SCR-2020-3-108 
Abstract: 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.
Keywords: Peritoneal dialysis, antibiotics, chronic kidney disease