What is Tenckhoff catheter insertion?

What is Tenckhoff catheter insertion?

The Tenckhoff catheter is a long, narrow tube inserted into you peritoneal cavity. The peritoneal cavity is the space in your body that contains your stomach, bowel, liver, bladder etc. It is covered by a membrane that holds all the organs in place—the peritoneal membrane.

Where is a Tenckhoff catheter placed?

A PD catheter (sometimes called a Tenckhoff catheter) is a special tube that is inserted into your abdominal cavity (space around the organs within your tummy). The PD catheter is soft to touch and should feel quite comfortable against your body.

How is a peritoneal dialysis catheter inserted?

Percutaneous placement

1. A small incision is made above the entrance site, usually in the midline with blunt dissection of the abdominal rectus sheath.
2. An 18-gauge needle is placed into the peritoneal cavity.
3. A 0.035-inch guide wire is then advanced through the needle into the abdomen, and the needle is removed.

How does a Tenckhoff catheter work?

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 is a laparoscopic peritoneal dialysis catheter placement?

Laparoscopic insertion of a peritoneal dialysis catheter is usually performed under general anaesthesia. The abdomen is insufflated and several small incisions are made. In one variation of the technique, the lateral inferior edges of the omentum are fixed onto the parietal peritoneum with sutures.

How long can you live on peritoneal dialysis?

Life expectancy on dialysis can vary depending on your other medical conditions and how well you follow your treatment plan. Average life expectancy on dialysis is 5-10 years, however, many patients have lived well on dialysis for 20 or even 30 years.

How do you remove a Tenckhoff catheter?

Local anaesthetic is injected around the outer cuff and the cuff dissected from the surrounding tissues. The rest of the catheter is removed by traction leaving the inner cuff as before. In the absence of infection, if the outer cuff on traction is found to be right next to the skin it is removed as above.