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Our Timing to Remove Peritoneal Catheter Dialysis After Kidney Transplant
G Peluso1, P Incollingo1, N Carlomagno1
1Operative Unit of General Surgery and Kidney Transplantation, Advanced Biomedical Science Department, University Federico II of Naples, Naples, Italy.
Transplantation Proceedings
|January 19, 2019
Summary
The ideal time to remove a peritoneal dialysis catheter after kidney transplant is 30-45 days post-operation. This timing balances safe graft function recovery with reduced infection risk for patients.
Area of Science:
- Nephrology
- Transplantation Surgery
- Infectious Disease
Background:
- Peritoneal dialysis (PD) is used by 15% of dialysis patients globally.
- Catheter and peritoneal infections are major PD complications.
- Kidney transplant recipients on immunosuppression face higher infection risks.
Purpose of the Study:
- Determine optimal timing for peritoneal dialysis catheter removal post-kidney transplant.
- Ensure safe renal function recovery.
- Minimize septic risks in transplant recipients.
Main Methods:
- Retrospective analysis of 65 PD patients undergoing kidney transplant (2000-2016).
- Evaluation of graft function and infection rates.
- Standardized PD catheter removal protocol.
Main Results:
- 61 patients had immediate graft function recovery.
- 4 patients experienced delayed graft function (DGF), managed with temporary hemodialysis.
- All PD catheters were removed between 30-45 days post-transplant.
- One case of catheter infection occurred, successfully treated with antibiotics.
Conclusions:
- A 30-45 day postoperative window for PD catheter removal is safe and effective.
- This timing balances graft function stabilization with reduced peritoneal dialysis risks.
- Hemodialysis is a viable option for DGF cases to protect the peritoneum.
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