Comparative analysis of complications and technique survival in peritoneal dialysis catheter insertion: single purse-string suture vs. double purses-string suture
Xiaoling Li,
Xiuling Chen,
Hui Gao,
Qin Zhou,
Wenshu Liu,
Pengli Li,
Yan Li,
Shiwen Wang,
Jin Chen,
Guisen Li
Affiliations
Xiaoling Li
Department of Nephrology, Sichuan Academy of Medical Sciences and Sichuan Provincial People’s Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China
Xiuling Chen
Department of Nephrology, Sichuan Academy of Medical Sciences and Sichuan Provincial People’s Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China
Hui Gao
Department of Nephrology, Sichuan Academy of Medical Sciences and Sichuan Provincial People’s Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China
Qin Zhou
Department of Nephrology, Sichuan Academy of Medical Sciences and Sichuan Provincial People’s Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China
Wenshu Liu
Department of Nephrology, Sichuan Academy of Medical Sciences and Sichuan Provincial People’s Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China
Pengli Li
Department of Nephrology, Sichuan Academy of Medical Sciences and Sichuan Provincial People’s Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China
Yan Li
Department of Nephrology, Sichuan Academy of Medical Sciences and Sichuan Provincial People’s Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China
Shiwen Wang
Department of Nephrology, Sichuan Academy of Medical Sciences and Sichuan Provincial People’s Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China
Jin Chen
Department of Nephrology, Sichuan Academy of Medical Sciences and Sichuan Provincial People’s Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China
Guisen Li
Department of Nephrology, Sichuan Academy of Medical Sciences and Sichuan Provincial People’s Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China
Objective Single- and double-purse-string suture methods are both widely used in open surgical catheterization for peritoneal dialysis. This study aimed to compare the post-insertion complications and technical survival of the two methods.Methods This retrospective study matched 142 patients who underwent peritoneal catheterization using the single- (Group S) or double- (Group D) purse-string suture method. Baseline clinical data and complications were recorded, and technical and patient survival rates were evaluated over 3 years.Results There were no significant intergroup differences in terms of infection complication rates (S, 2.8% vs. D, 5.6%, p = 0.377) or non-infection complication rates (2.1% vs. 2.8%, p = 1.000) within the first month post-insertion. The Kaplan–Meier estimates of technical survival at 1, 2, and 3 years were 96.3%, 90.4%, and 85.9% in group S and 89.9%, 86.7%, and 84.8% in group D, respectively (log-rank test, p = 0.439). Additionally, patient survival rates were comparable between groups over the 3-year follow-up (log-rank test, p = 0.647).Conclusions This study revealed that the single- and double-purse-string suture catheter insertion methods have similar post-insertion complication and technical survival rates. These data suggest that the single-purse-string suture method can be adopted as standard practice for peritoneal dialysis catheter placement.
