Retrospective Study
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Feb 6, 2022; 10(4): 1182-1189
Published online Feb 6, 2022. doi: 10.12998/wjcc.v10.i4.1182
Importance of the creation of a short musculofascial tunnel in peritoneal dialysis catheter placement
Chih-Yuan Lee, Meng-Kun Tsai, Yi-Ting Chen, Yu-Jun Zhan, Min-Ling Wang, Chien-Chia Chen
Chih-Yuan Lee, Meng-Kun Tsai, Department of Surgery, National Taiwan University Hospital, Taipei 100, Taiwan
Meng-Kun Tsai, Division of General Surgery, Department of Surgery, National Taiwan University Biomedical Park Hospital, National Taiwan University Hospital Hsinchu Branch, Hsinchu 302, Taiwan
Yi-Ting Chen, Renal Division, Department of Internal Medicine, National Taiwan University Hospital, Taipei 100, Taiwan
Yi-Ting Chen, Department of Integrated Diagnostics & Therapeutics, National Taiwan University Hosptial, Taipei 100, Taiwan
Yu-Jun Zhan, Min-Ling Wang, Department of Nursing, National Taiwan University Hospital, Taipei 100, Taiwan
Chien-Chia Chen, Division of General Surgery, Department of Surgery, National Taiwan University Hospital, Taipei 100, Taiwan
Author contributions: Chen CC and Lee CY conceived the study and wrote the manuscript; Tsai MK, Chen YT, Zhan YJ, and Wang ML were involved in medical record review and data analysis; all authors reviewed and edited the manuscript and approved the final version of the manuscript.
Institutional review board statement: This retrospective study was approved by the Research Ethics Committee of the National Taiwan University Hospital (202106072RINA).
Informed consent statement: Patients were not required to give informed consent to the study because the analysis used anonymous clinical data obtained after each patient agreed to treatment by written consent.
Conflict-of-interest statement: The authors declare that there is no conflict of interest.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Chien-Chia Chen, MD, PhD, Doctor, Division of General Surgery, Department of Surgery, National Taiwan University Hospital, No. 7 Chung Shan South Road, Zhongzheng Dist, Taipei 100, Taiwan. 010419@ntuh.gov.tw
Received: September 16, 2021
Peer-review started: September 16, 2021
First decision: November 7, 2021
Revised: November 20, 2021
Accepted: December 25, 2021
Article in press: December 25, 2021
Published online: February 6, 2022
Processing time: 130 Days and 2.4 Hours
Core Tip

Core Tip: We present a simple add-on procedure to the traditional open surgery method of peritoneal dialysis catheter implantation. Our method does not need an additional incision, suture, or change of surgical site. We analyzed images of the catheter and measured its deviation angle, which is related directly to the so-called “migration”. Indeed, patients who underwent the traditional method had a greater initial deviation angle and more angle shift in later images than did those who underwent the modified catheter implantation. This simple modification helps to maintain the catheter in the expected orientation, which will increase the efficacy of dialysis.