Objective: This study aimed to evaluate the clinical outcome of Tenckhoff catheter insertion at Sardjito General Hospital for pediatric renal failure. Material & Methods: Data were collected from January 2014 to December 2018 at Sardjito General Hospital. All patient records were collected retrospectively such as patient characteristics, underlying diseases of kidney failure, congenital abnormalities, surgical technique, complications that occur after Tenckhoff catheter insertion. Results: 45 patients meet the inclusion criteria. A total of 7 patients with acute kidney failure (15.5%) and 38 patients with chronic kidney failure (84.5%). Glomerulonephritis is the most common cause of kidney failure (21 patients, 46.7%). The insertion technique used was open surgery in 34 patients (76%) and laparoscopic insertion in 11 patients (24%). Complications reported were catheter dysfunction, leakage of dialysate, surgical site infection, and peritonitis. Conclusion: Tenckhoff catheter insertion for peritoneal dialysis (PD) in pediatric patients with acute and chronic renal failure performed in our center is effective and safe. The most common cause of renal failure in pediatric is glomerulonephritis. Open surgery and laparoscopic insertion of Tenckhoff catheter both have a low complication rate. Catheter dysfunction due to mechanical catheter obstruction is one of the main problems in the placement of Tenckhoff catheter.
Tenckhoff, peritoneal dialysis, pediatric
Heijden BJ Van Der, Dijk PCW Van, Kitty KV, Douglas JJJ. Renal replacement therapy in children: data from 12 registries in Europe. J Pediatr Nephrol. 2004; 19(Dec): 213-221.
Li CL, Cui TG, Gan HB, Cheung K. Peritoneal Dialysis in The Developing World. Perit Dial Int J. 2009; 29: 278-284.
Ardissino G, Dacco V. Epidemiology of Chronic Renal Failure in Children: Data From the ItalKid Project. Am Acad Pediatr. 2003; (4): e384-87.
Ponce D, Andre MG, Balbi L. Option in Acute Kidney Injury. Blood Purif. 2017; January(43): 173-178.
Levy CS, Mudi A, Venter B, Geel J. Challenges facing children on chronic peritoneal dialysis. Perit Dial Int. 2018; 38: 402-404.
Vasudevan A, Phadke K, Yap H. Peritoneal dialysis for the management of pediatric patients with acute kidney injury. Pediatr Nephrol. 2016.
Ellsworth API, Editor C, David E. Peritoneal Dialysis Catheter Insertion. Medscape. 2016: 1-6.
Daschner M, Zachariou Z, Mehls O, Schaefer F. Laparoscopic tenckhoff catheter implantation in children. 2002; 22: 22-26.
Isla RAT, Mapiye D, Swanepoel CR, Rozumyk N, Hubahib JE, Okpechi IG. CAPD in Limpopo Province. South Africa. Perit Dial Int. 2014; 34: 518-525.
Lee YK, Yang P, Park KS, Choi KH, Kim BS. Modified Peritoneal Dialysis Catheter Insertion : Comparison with a Conventional Method. Yonsei Med J. 2015; 56(4): 981-986.
Bello A, Sangweni B, Mudi A, Khumalo T, Moonsamy G, Levy C. The Financial Cost Incurred By Families Of Children. Perit Dial Int. 2018; 38: 14-17.
Peppelenbosch A, Kuijk WHM Van, Bouvy ND, Sande FM Van Der, Tordoir JHM. Peritoneal dialysis catheter placement technique and complications. Nephrol Dial Transplant. 2008; Suppl 4: 23-28.
Liu WJ, Hooi LS, Unit H, Hospital SA, Bahru J. Complications after tenckhoff catheter insertion: a single-centre experience using multiple operators over four years. Perit Dial Int. 2010; 30: 509-512.
Azzi Y Al, Zeldis E, Nadkarni GN, Schanzer H, Uribarri J. Outcomes of dialysis catheters placed by the Y-TEC peritoneoscopic technique : a single-center surgical experience. Clin Kidney J. 2016; 9(1): 158-161.
Warady BA, Bakkaloglu S, Newland J et al. Catheter-Related Infections And Peritonitis In Pediatric. Perit Dial Int. 2012; 32: s32-86.