Scalamogna A,De Vecchi A, Nicosia F
A new technique of cuff shaving in CAPD patients
XVIth Annual CAPD Conference
Perit Dial Int Suppl 2 (Feb) 16:S79 1996

The authors describe a new technique for revising the subcutaneous tunnel in 13 patients with refractory exit site infections. The superficial cuff is exposed and shaved from the catheter. A new exit site is formed by making a 5 mm incision over the tunnel, then pulling the catheter through this new opening. Using this procedure, the exit site infection resolved in 9 (69%) with a follow-up of 4.7 to 11.4 months.

Comment: Scalamogna et al have written extensively on revision of the exit site for chronic exit site infections. The procedure described in this abstract is considerably less invasive and more feasible than their previously described procedure, which required hospitalization and extensive debridement. (Beth M. Piraino, M.D., University of Pittsburg)

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XVIth Annual CAPD Conference
Basic peritoneal dialysis : Peritonitis and exit-site infection
Basic peritoneal dialysis : PD procedure: tips