Endoscopic Placement of Continuous Ambulatory Peritoneal Dialysis Catheter with Moncrief Popovich Implantation Technique (A Preliminary Study)

Abstract

Peritonitis, being the leading complication of long term therapy with continuous ambulatory peritoneal dialysis (CAPD), has a deleterious effect on both morbidity and mortality rates, and technical survey of the peritoneal catheter. It is most commonly secondary to the introduction of bacteria by touch contamination or to biofilm formation along the catheter. Progress on connection technology at the bagtubing junction has markedly reduced the incidence of peritonitis due to touch contamination. However, biofilm formation is still a major problem in relapsing peritonitis. Moncrief-Popovich technique is basically aimed to prevent biofilm formation by preserving the catheter from trauma in a sterile condition. Endoscopic insertion of the catheter makes repeated manupilations unnecessary and provides a better wound healing. Combination of the two techniques provided markedly lower incidence of early complications in 7 CAPD patients who were followed for 6 months. This is a preliminary study.