{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T14:11:15Z","timestamp":1780668675269,"version":"3.54.1"},"reference-count":35,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,6,1]],"date-time":"2021-06-01T00:00:00Z","timestamp":1622505600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Ther Apher Dial"],"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Percutaneous peritoneal dialysis catheter (PDC) insertion for continuous ambulatory peritoneal dialysis (CAPD) entails a higher risk of complications such as bowel injury, vascular injury, and catheter migration compared to the surgical insertions. We conducted a comparative analysis of two techniques of peritoneal entry for PDC insertion by Seldinger technique. We performed a retrospective review of 426 percutaneously inserted PDCs in nonobese na\u00efve abdomens for CAPD at two tertiary care teaching hospitals in India over 6\u2009years. Comparison of various mechanical complications, and short\u2010term catheter survival was done between use of introducer needle (Group \u201cI\u201d) and spring\u2010loaded pneumoperitoneum (Veress) needle (Group \u201cV\u201d). Group \u201cI\u201d to \u201cV\u201d patient ratio was 277:149. Group \u201cI\u201d had heavier patients (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.03) whereas \u201cV\u201d group had a dominance of diabetes (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.009) and prior hemodialysis patients (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.03). At 3\u00a0months, the odds of mechanical complications (OR\u00a0=\u00a00.27,<jats:italic>p<\/jats:italic>\u00a0=\u00a00.004), PDC migration (OR\u00a0=\u00a00.18,<jats:italic>p<\/jats:italic>\u00a0=\u00a00.02), and omental wrapping (OR\u00a0=\u00a00.13,<jats:italic>p<\/jats:italic>\u00a0=\u00a00.04) were less in \u201cV\u201d group. No bowel injury occurred with Veress needle use. At 6\u00a0months, \u201cV\u201d group had higher odds of event\u2010free sustained PDC tip position (OR\u00a0=\u00a00.39,<jats:italic>p<\/jats:italic>\u00a0=\u00a00.003), and catheter survival (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.03), and the cumulative events were lesser too (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.002). Refractory peritonitis and deaths with functioning catheter were comparable between both the groups. In this first\u2010of\u2010its\u2010kind study, spring\u2010loaded Veress pneumoperitoneum needle use was safer, entrusted sustained PDC tip position in pelvis, and had a better catheter survival compared to use of introducer needle for peritoneal entry in percutaneously inserted PDCs. These findings should be confirmed by a randomized controlled study.<\/jats:p>","DOI":"10.1111\/1744-9987.13688","type":"journal-article","created":{"date-parts":[[2021,5,17]],"date-time":"2021-05-17T04:03:40Z","timestamp":1621224220000},"page":"212-219","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Pneumoperitoneum needle vs. introducer needle: Comparison of complications and short\u2010term outcomes in percutaneously inserted peritoneal dialysis catheters in na\u00efve abdomens"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0582-3845","authenticated-orcid":false,"given":"Pavitra Manu","family":"Dogra","sequence":"first","affiliation":[{"name":"Department of Nephrology Army Hospital (R&amp;R) New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ranjith K.","family":"Nair","sequence":"additional","affiliation":[{"name":"Department of Nephrology Army Hospital (R&amp;R) New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vivek","family":"Sood","sequence":"additional","affiliation":[{"name":"Department of Nephrology Army Hospital (R&amp;R) New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bhaskar","family":"Datt","sequence":"additional","affiliation":[{"name":"Department of Nephrology Army Hospital (R&amp;R) New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amit","family":"Katyal","sequence":"additional","affiliation":[{"name":"Department of Nephrology Army Hospital (R&amp;R) New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ananthram","family":"Jairam","sequence":"additional","affiliation":[{"name":"Department of Nephrology Army Hospital (R&amp;R) New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashok","family":"Hooda","sequence":"additional","affiliation":[{"name":"Department of Nephrology Army Hospital (R&amp;R) New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satish","family":"Mendonca","sequence":"additional","affiliation":[{"name":"Department of Nephrology Army Hospital (R&amp;R) New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Debabrata","family":"Mukherjee","sequence":"additional","affiliation":[{"name":"Department of Nephrology Army Hospital (R&amp;R) New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Parikshit","family":"Chauhan","sequence":"additional","affiliation":[{"name":"Department of Nephrology Military Hospital Jalandhar India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomala","family":"Murari","sequence":"additional","affiliation":[{"name":"Department of Nephrology Military Hospital Jalandhar 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