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Insertion permanent dialysis catheters

What is permanent dialysis catheter insertion?

A permanent dialysis catheter insertion is a catheter permanently inserted under the skin which is used to exchange blood using a haemodialysis machine. The catheter for dialysis has two lumens – a venous and arterial lumen. These lumens act like natural arteries and carry blood to and from the heart allowing cleaned blood into the bloodstream.

How is a permanent dialysis catheter inserted?

Once under general anaesthesia, the catheter can be inserted laparoscopically. The catheter is placed in one of the main arteries such as the superior vena cava in the groin or internal jugular vein in the neck. Once inserted, the incision is closed, and the catheter is tested using saline solution. The site is checked for leakage by Dr. Noorbhai before surgery is completed.

Why would permanent dialysis catheter be inserted?

A permanent dialysis catheter is usually inserted for people who require long-term dialysis such as those with:

  • End-stage renal disease
  • Vascular access failure
  • Intolerance to hemodialysis
  • Congestive heart failure and poor cardiac function
  • Prosthetic valvular disease
  • Peripheral vascular disease
  • Drug poisonings
  • Pancreatitis
  • Inherited enzyme deficiencies

How long will I be in hospital?

Depending on whether or not open surgery was needed or the surgery could be done laparoscopically. Most laparoscopic patients are able to go home on the same day as surgery. How soon you will be discharged from hospital depends on the functioning of the catheter, how much pain you are experiencing after surgery and whether you have someone to look after you at home.

What will happen after surgery?

Fluid may have been used during surgery, and a drain may be used to remove excess fluid after surgery. Following a permanent catheter insertion you may experience the following:

  • Pain in your abdomen.
  • Pain when coughing, sneezing or laughing.
  • Red skin around your wounds.

All these symptoms are normal and are nothing to be concerned about. Re-consult if you have an unusually high temperature, chills, vomiting, swelling around the incisions, bleeding, or you are experiencing excessive pain as emergency care may be needed.

How soon after the surgery can I resume normal activities?

You will be able to resume normal activities soon after your surgery; however, it is important to start slowly. If you experience pain during a certain activities, stop that activity. You may not do any heavy lifting or vigorous physical activity for at least 4 weeks after your procedure.

What are the potential risks and complications a permanent dialysis catheter insertion?

The risk of complications during laparoscopic surgery is very low; however, there are risks involved in any surgery, and the following complications can occur:

  • Infection of the wound or internal infection.
  • Poor blood flow may cause inefficient dialysis.
  • Kinking of the catheter.
  • Deep vein thrombosis (DVT) or blood clots.
  • Risks from general anaesthetic.
endoscopic and-laparoscopic surgery
endoscopic and-laparoscopic procedures

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