{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:16:32Z","timestamp":1787015792346,"version":"build-2736575974"},"reference-count":24,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2015,10,7]],"date-time":"2015-10-07T00:00:00Z","timestamp":1444176000000},"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":["Nephrology"],"published-print":{"date-parts":[[2015,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Some patients with refractory peritoneal dialysis\u2010related peritonitis continue to develop intra\u2010abdominal complications despite removal of the peritoneal catheter. Repeated percutaneous drainage or open laparotomy is often required, and mortality is not uncommon. The benefits of pelvic drainage placement during catheter removal in decreasing these complications and interventions remain unproven.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Forty\u2010six patients with refractory peritonitis who underwent removal of a Tenckhoff catheter between 1991 and 2013 were reviewed retrospectively. Twelve patients had pelvic drainage using closed active suction devices during catheter removal (drainage group). The remaining 34 patients underwent catheter removal without drainage (non\u2010drainage group). The outcomes measured were the development of intra\u2010abdominal complications and the requirement for repeated percutaneous drainage or open laparotomy within 90 days after the catheter removal.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Baseline characteristics were similar with the exception of a higher median number of previous peritonitis episodes in the drainage group compared with the non\u2010drainage group (2\n                      <jats:italic>vs<\/jats:italic>\n                      0,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.02). During the follow\u2010up period, intra\u2010abdominal complications occurred in 15 (44%) of 34 patients in the non\u2010drainage group, compared with one (8%) of 12 patients in the drainage group (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.03). Twelve (35%) patients in the non\u2010drainage group required repeated percutaneous drainage or open laparotomy for management, compared with zero (0%) patients in the drainage group (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.02). Drain tubes were removed at a median of 6 days (inter\u2010quartile range: 5\u201310) without complications.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In the management of refractory peritonitis, pelvic drainage during removal of dialysis catheter decreases the risk of subsequent intra\u2010abdominal complications and invasive interventions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/nep.12514","type":"journal-article","created":{"date-parts":[[2015,5,19]],"date-time":"2015-05-19T06:26:32Z","timestamp":1432016792000},"page":"855-861","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Pelvic drainage during removal of dialysis catheter decreases the risk of subsequent intra\u2010abdominal complications in refractory peritoneal dialysis\u2010related peritonitis"],"prefix":"10.1111","volume":"20","author":[{"given":"Chih\u2010Yang","family":"Hsu","sequence":"first","affiliation":[{"name":"Division of Nephrology, Department of Internal Medicine Kaohsiung Veterans General Hospital  Kaohsiung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei\u2010Chieh","family":"Huang","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Department of Internal Medicine Kaohsiung Veterans General Hospital  Kaohsiung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chun\u2010Kai","family":"Huang","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Department of Internal Medicine Kaohsiung Veterans General Hospital  Kaohsiung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chien\u2010Wei","family":"Huang","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Department of Internal Medicine Kaohsiung Veterans General Hospital  Kaohsiung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nan\u2010Hua","family":"Chou","sequence":"additional","affiliation":[{"name":"Division of General Surgery Department of Surgery Kaohsiung Veterans General Hospital  Kaohsiung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Po\u2010Tsang","family":"Lee","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Department of Internal Medicine Kaohsiung Veterans General Hospital  Kaohsiung Taiwan"},{"name":"National Yang\u2010Ming University School of Medicine  Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hua\u2010Chang","family":"Fang","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Department of Internal Medicine Kaohsiung Veterans General Hospital  Kaohsiung Taiwan"},{"name":"National Yang\u2010Ming University School of Medicine  Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kang\u2010Ju","family":"Chou","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Department of Internal Medicine Kaohsiung Veterans General Hospital  Kaohsiung Taiwan"},{"name":"National Yang\u2010Ming University School of Medicine  Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chien\u2010Liang","family":"Chen","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Department of Internal Medicine Kaohsiung Veterans General Hospital  Kaohsiung Taiwan"},{"name":"National Yang\u2010Ming University School of Medicine  Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,10,7]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.3747\/pdi.2010.00049"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.3747\/pdi.2010.00185"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2003.08.046"},{"key":"e_1_2_6_5_1","first-page":"94","article-title":"Clinical outcome after transfer from peritoneal dialysis to hemodialysis","volume":"22","author":"Bilgic A","year":"2006","journal-title":"Adv. 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