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Clinical Use of Stylet-Catheter For Peritoneal Dialysis

Clinical Use of Stylet-Catheter For Peritoneal Dialysis Abstract THE AVAILABILITY, safety, and simplicity of peritoneal dialysis has led to the wide acceptance of this method for the treatment of patients in acute renal failure.1 At first, the procedure for introducing peritoneal dialysis catheters required penetration of the abdominal wall with a 17-French paracentesis trocar.2 Recently, McDonald 3 demonstrated that dialysis catheters could be inserted through a thin-walled, 14-French trocar with less trauma to the patient. However, despite the smaller trocar, the resulting abdominal opening still is of greater diameter than the catheter, and the possibilities of hemorrhage or leakage of dialysis fluid, although reduced, remain. Therefore, a new stylet-catheter has been devised which can be readily introduced into the peritoneal cavity without a trocar. Only a 6-French opening is made in the abdominal wall, which then stretches to fit the catheter so that no leakage occurs and the usual purse-string suture is not needed. Moreover, because References 1. Burns, R. O., et al: Peritoneal Dialysis, Clinical Experience , New Eng J Med 267:1060-1066, 1962.Crossref 2. Maxwell, M. H., et al: Peritoneal Dialysis, Technique and Applications , JAMA 170:917-924 ( (June 20) ) 1959.Crossref 3. McDonald, H. P., Jr.: Peritoneal Dialysis Trocar , J Urol 89:946-947, 1963. 4. Surtshin, A., et al: Personal communication to the authors, October, 1964. 5. Rubini, M. E., et al: Personal communication to the authors, October, 1964. 6. Boen, S. T.: Working Conference on Chronic Dialysis, University of Washington, Seattle, Dec 3-5, 1964. 7. Boen, S. T., et al: Periodic Peritoneal Dialyses in Management of Chronic Uremia , Trans Amer Soc Artif Intern Organs 8:256-262, 1962.Crossref 8. Merrill, J. P., et al: Use of Inlying Plastic Conduit for Chronic Peritoneal Irrigation , Trans Amer Soc Artif Intern Organs 8:252-255, 1962.Crossref 9. Weston, R. E., et al: Intermittent Peritoneal Dialysis in Patients in Chronic or Acute Renal Failure With Indwelling Abdominal "Button," Inserted via Parcentesis Trocar Under Local Anesthesia , J Clin Invest 42:992 ( (June) ) 1963. 10. Barry, K. G.; Schwartz, F. D.; and Matthews, F. E.: Further Experience With Flexible Cannula in Several Hospital Centers , Trans Amer Soc Artif Intern Organs 10:400-403, 1964. 11. Boen, S. T.: Peritoneal Dialysis , Springfield, Ill: Charles C Thomas, Publisher, 1964. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

Clinical Use of Stylet-Catheter For Peritoneal Dialysis

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References (9)

Publisher
American Medical Association
Copyright
Copyright © 1965 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1960.03860180031005
Publisher site
See Article on Publisher Site

Abstract

Abstract THE AVAILABILITY, safety, and simplicity of peritoneal dialysis has led to the wide acceptance of this method for the treatment of patients in acute renal failure.1 At first, the procedure for introducing peritoneal dialysis catheters required penetration of the abdominal wall with a 17-French paracentesis trocar.2 Recently, McDonald 3 demonstrated that dialysis catheters could be inserted through a thin-walled, 14-French trocar with less trauma to the patient. However, despite the smaller trocar, the resulting abdominal opening still is of greater diameter than the catheter, and the possibilities of hemorrhage or leakage of dialysis fluid, although reduced, remain. Therefore, a new stylet-catheter has been devised which can be readily introduced into the peritoneal cavity without a trocar. Only a 6-French opening is made in the abdominal wall, which then stretches to fit the catheter so that no leakage occurs and the usual purse-string suture is not needed. Moreover, because References 1. Burns, R. O., et al: Peritoneal Dialysis, Clinical Experience , New Eng J Med 267:1060-1066, 1962.Crossref 2. Maxwell, M. H., et al: Peritoneal Dialysis, Technique and Applications , JAMA 170:917-924 ( (June 20) ) 1959.Crossref 3. McDonald, H. P., Jr.: Peritoneal Dialysis Trocar , J Urol 89:946-947, 1963. 4. Surtshin, A., et al: Personal communication to the authors, October, 1964. 5. Rubini, M. E., et al: Personal communication to the authors, October, 1964. 6. Boen, S. T.: Working Conference on Chronic Dialysis, University of Washington, Seattle, Dec 3-5, 1964. 7. Boen, S. T., et al: Periodic Peritoneal Dialyses in Management of Chronic Uremia , Trans Amer Soc Artif Intern Organs 8:256-262, 1962.Crossref 8. Merrill, J. P., et al: Use of Inlying Plastic Conduit for Chronic Peritoneal Irrigation , Trans Amer Soc Artif Intern Organs 8:252-255, 1962.Crossref 9. Weston, R. E., et al: Intermittent Peritoneal Dialysis in Patients in Chronic or Acute Renal Failure With Indwelling Abdominal "Button," Inserted via Parcentesis Trocar Under Local Anesthesia , J Clin Invest 42:992 ( (June) ) 1963. 10. Barry, K. G.; Schwartz, F. D.; and Matthews, F. E.: Further Experience With Flexible Cannula in Several Hospital Centers , Trans Amer Soc Artif Intern Organs 10:400-403, 1964. 11. Boen, S. T.: Peritoneal Dialysis , Springfield, Ill: Charles C Thomas, Publisher, 1964.

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Jun 1, 1965

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