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Efficacy of Ball Compression Belt to Reduced Postoperative Bleeding of

Tenckhoff Catheter Insertion in Continuous Ambulatory peritoneal

Dialysis patients, Sawanpracharak HospitaL

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Prasan Tanvisut M.D.

Department of Surgery

Sawanpracharak Hospital

Nakhon Sawan

Sawanpracharak Medical ]ournal

Vol. 8 No. B September-December zott

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Abstract

To compare post operative hemorrhage in continuous ambutatoryperitoneal diarysis (cApD) patients after tenckhoff catheter insertionwith and without Ball compression belt (BCB).

operation Room and rn-patient Department, sawanpracharak HospitarCross-sectional analytical study.

329 CAPD patients who had tenckhoff catheter insertion from March1, 2007 to April AO, ZO12

Data collected from medicar record and operative note consisted ofgender, age, operating time and post operative bleeding with in thetisl24 hours. comparison between 116 patients with BCB operatedfrom January 2011 to Aprir 2o1z and 210 patients without BCB operatedfrom March 20or to December 2010 by using chi square test andFisher 's exact test.

Objective

Setting

Design

Subiects

Exact test fi :;r'r-u nr r ru rfi a riuhiria a n.j-ria u nv gs

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Method

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i ln CAPD patients with BCB group, s1.7y" were male with mean ageof 48-0*13.6 years and mean operating time of gt.o*o.z minutes. rn

CAPD patients without BCB grou p, 47.4 o/o ware male with mean ageof 4l-q*13.0 years and mean operating time of sg.t*t0.-l minutes.ln terms of gender, age and operating time there were no statisticaldifference in both groups there were not statistical difference. Therate of post operative bleeding within the first 24 hours in patients withBCB was significantry ress than patients without BCB (1.7% and 8.07o,P=0.0't4).

: BCB could be used to reduce bleeding condition after operation in

CAPD patients who received tenckhoff catheter insertion

: Ball compression Bert, Tenckhoff catheter insertion, cApD patients,

Bleeding condition within 24 hours

Key words

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Results

Conclusion

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Efficacy of Ball Conrpression tselt to Reduced Posloperative Bleeding of Tenckhoff catheter lnsertion in

a qJufi 3 n'u'-n n' 2554 uous Ambul I Dialvsis l,

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,'€ roomrdl{6.rperkovic v, cass A, Patel AA, Suriyawongpaisal p, Barzi F, Chadban S, et al.

High prevalence of chronic kidney disease in Thailand. Kidney lnt 2008; 73: 473-9.

coresh J, Astor BC, Greene T, Eknoyan G, Levey AS. prevalence of chronic

kidney disease and decreased kidney function in the adult US population: Third

National Health and Nutrition Examination Survey. Am J Kidney Dis 2003; 41: l_12.

Levey AS, coresh J, Balk E, Kausz AT, Levin A, steffes MW, et al. National

Kidney Foundation practice guidelines for chronic kidney disease: evaluation,

classification, and stratification. Ann lntern Med 2003; 139: 1a7-47.

National Kidney Foundation. IVDOQI clinical practice guideline for chronic kidney

disease: evaluation, classification, and stratification. Am J Kidney Dis 2002; 3g

(2 Suppl 1): 51-266.

5. Peritoneal Dialysis Adequacy Work Group. Clinical practice guideline for peritoneal

dialysis adequacy. Am J Kidney Dis 2006; aB (suppt 1): s9B-129.

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l0' waraporn L. Prevalence and factors affecting peritonitis in CApD patients in MaharalNakorn Ratchasima Hospital under Universal Coverage Scheme during 200g-20.10:

a three-year experience. J Med Assoc Thai 201 1; ga(4): s1g-24.

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12'Tiong HY, Poh J, Sundararai K, Wu YJ, Consigliere DT. Surgicat complicationsof tenckhoff catheter used in continuous ambulatory peritoneal dialysis. SingaporeMed 2006; 4Z(B): 707-11.

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n1?vt6anaaflua-irI V

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161 (48.e)

168 (51 .1)

38 (11.6)

6'1 (18.5)

B0 (24.3)

8e (27.1)

61 (18.5)

47.6 (13.2)

1eB (60.2)

131 (3e.8)

32.6 (e.0)

310 (e4.2)

1e (5.8)

60 (51.7)

56 (48.3)

13 (11.2)

26 (22.4)

21 (18.1)

28 (24.1)

28 (24.1)

48.0 (13.6)

6e (5e.5)

47 (40.5)

31.6 (6.7)

114 (e8.3)

2 (1.7)

101 (47.4)

112 (s2.6)

25 (11.7)

35 (16.4)

5e (27.7)

61 (28.6)

33 (15.5)

47.4 (13.0)

12e (60.6)

84 (3e.4)

33.1 (10.1)

1e6 (e2.0)

17 (8.0)

32e (100.0) 116 (35.3) 213 (64.7)

0.489

0.095

0.848

0.014*

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ar::riil:st.rin drrtar:

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ulrI

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31 -40fl41-sofll51 -60tl>60tl

:susnattunrtaitor-a

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310 (e4.2)

1s2 (4e.0)

158 (51.0)

38 (12.3)

sB (18.7)

75 (24.2)

80 (25.8)

5e (1e.0)

187 (60.3

123 (3e.7)

so urfi

1e (s.8)

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10 (52.6)

0 (0)

3 (1s.8)

5 (26.3)

s (47.4)

2 (10.5)

11 (57.e)

8 (42.1)

0.888

0.183

0.834