Comparative study shows reduced catheter displacement and omental wrapping in low-site placement with rectus abdominis embedding.
Objectives This study evaluated and compared the clinical efficacy of low‐site catheter placement combined with long‐segment rectus abdominis embedding versus conventional peritoneal dialysis catheter placement. Methods The study included 101 patients who underwent peritoneal dialysis catheter placement at our hospital between January 2016 and December 2019. The participants were divided into two groups based on the catheter placement technique: 60 patients received low‐site catheter placement with long‐segment rectus abdominis embedding, and 41 patients underwent conventional catheter placement. Postoperative complications were compared between the two groups. Results The incidence of catheter displacement ( p = 0.006) and omental wrapping ( p = 0.034) demonstrated statistically significant differences between the two groups. However, the leakage, hernia, and early peritonitis occurrences were not statistically significant. Conclusion Low‐site catheter placement combined with long‐segment rectus abdominis embedding appears to offer advantages over conventional peritoneal dialysis catheter placement by reducing the risks of catheter displacement and omental wrapping. This technique may provide a more effective approach to peritoneal dialysis catheterization.
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Chen et al. (2025) studied this question.
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