What is a Tenckhoff peritoneal catheter?
The Tenckhoff catheter is a Silastic tube with side holes along its intraperitoneal portion. There are usually one or two Dacron cuffs, allowing tissue ingrowth, which secures the catheter in place and prevents pericatheter leakage and infection.
Where is a Tenckhoff catheter inserted?
A Tenckhoff catheter is a soft, see-through rubber tube. A doctor puts it into your pleural space to drain fluid from around your lung. The catheter is tunnelled under your skin and then brought out. The place where it comes out of your skin is called the exit site.
What type of catheter is used for peritoneal dialysis?
The peritoneal dialysis catheter is composed of a flexible silicone tube with an open-end port and several side holes to provide optimal drainage and absorption of the dialysate. The extraperitoneal component of the catheter has either one or two Dacron cuffs. The Dacron cuffs are for optimal ingrowth and fixation.
Is a Tenckhoff catheter permanent?
Permanent catheter obstruction developed in 16 patients, in 11 of whom it was related to peritonitis. With the introduction of the permanent Tenckhoff catheter long-term peritoneal dialysis has become a simple, safe and painless procedure, suitable for virtually all patients who require maintenance dialysis.
How big is a PD catheter?
|Overall Length Straight (cm)
Is PD catheter permanent?
With good exit site care, most PD catheters have no problems and work for many years. If the catheter does not work or is no longer needed, it is removed with minor surgery.
How do you take a shower with a PD catheter?
A washcloth or sponge may be used to clean the body, although you should be careful to keep the catheter and bandage dry. You will be able to shower when cleared by your PD nurse. While healing, you should not exercise too hard or do much lifting. The exit site should be completely healed at 4-6 weeks.
How long is PD catheter surgery?
The operation typically takes about one hour and is performed on an outpatient basis. Patients will require general anesthesia for the procedure. Patients can begin to use their new dialysis catheter as soon as the next day if needed.
Can you shower with PD catheter?
The skin around the catheter should be kept dry until it is well healed — about 10 to 14 days. You should not take a shower or bath or go swimming during this time. These water sources are not sterile and can cause an exit site infection.
Can you feel the PD catheter?
After that, the bandage is first changed by a PD nurse under sterile conditions. The catheter should not be moved or touched a lot, because this can increase the chance for infection. After the first two weeks, the skin around the catheter should not be red or painful. The skin should feel soft.
Is PD catheter surgery painful?
Patients often present with mild incisional pain after the catheter insertion procedure. They may also complain of deep pain, which may be caused by traction of the bowels from catheter manipulation during the procedure. Infusion of dialysate solution can cause progressively severe pain.
Can you shower with a peritoneal dialysis catheter?
How painful is PD catheter surgery?
Pain. Patients often present with mild incisional pain after the catheter insertion procedure. They may also complain of deep pain, which may be caused by traction of the bowels from catheter manipulation during the procedure. Infusion of dialysate solution can cause progressively severe pain.
What is the most serious side effect of peritoneal dialysis?
Peritonitis. A common side effect of peritoneal dialysis is bacterial infection of the peritoneum (peritonitis). Peritonitis can happen if the dialysis equipment is not kept clean. If there are bacteria on the equipment, they can spread to the peritoneum, the thin layer of tissue that lines the inside of the abdomen.