Non-stylet insertion of a PD catheter into the abdominal cavity

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  • 腹膜透析カテーテルの腹腔内挿入にスタイレットは必要ない　　‐ノンスタイレット挿入法‐
  • 腹膜透析カテーテルの腹腔内挿入にスタイレットは必要ない--ノンスタイレット挿入法
  • フクマク トウセキ カテーテル ノ フククウ ナイ ソウニュウ ニ スタイレット ワ ヒツヨウ ナイ ノンスタイレット ソウニュウホウ
  • ―ノンスタイレット挿入法―

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Abstract

The PD catheter is usually inserted into the abdominal cavity using a stylet. The stylet is a stainless rod which is placed in the catheter lumen. The aim of using a stylet is to convey the catheter deep within the pelvic area, but there may be intra-operative complications such as visceral perforation, although the incidence is low. In Oji hospital, from November 2006 to March 2010, 119 consecutive operations to implant a PD catheter were carried out without a stylet. In 115 of the 119 operations, catheters were inserted to an appropriate position in the abdominal cavity. It took only a few seconds to complete catheter insertion. Four catheters could not be inserted to an appropriate position without a stylet, and these patients were obese with a thick abdominal wall. The insertion of a catheter without a stylet is known as non-stylet catheter insertion. Non-stylet insertion has some advantages in that it avoids visceral perforation. In recent years, the long PD catheter has gradually become popular, and intra-operative touch contamination of the long catheter using a long stylet must be reduced by non-stylet insertion. Since non-stylet insertion is an easy and safe skill, it could become a standard procedure to insert the PD catheter into the abdominal cavity.

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