Continuous Ambulatory Peritoneal Dialysis (CAPD) is the process of removal of waste products from your blood when the kidneys fail to perform their function. During peritoneal dialysis, a catheter is introduced into the abdomen. The lining of the abdomen, known as the peritoneum, acts as a filter and removes the waste products from the body.
This form of dialysis differs from hemodialysis as patients can do this dialysis at home and while travelling.
How is the CAPD Catheter removed?
There are primarily two methods of removing CAPD catheters.
Peritoneal Dialysis Catheter Pull:
Before the procedure, dressing on the site of placement of the catheter is removed. After inspecting the site and ruling out any infection, local anaesthesia is applied. The superficial cuff is gently pulled out. After removing the catheter, a dressing is applied over the site. The patient is advised not to take a bath until the dressing is removed. However, the patient can drive and return to work immediately after the procedure.Â
Surgery:
Surgery is usually recommended in cases wherein the site of insertion of the catheter is infected. Before performing the procedure, general anaesthesia is given. During the surgery, a small cut is made below the umbilicus. The catheter is removed, and the incision is sutured. It takes about two weeks for the wound to heal completely. The dressing on the incision site is changed regularly. The patient is adviced not to drive and avoid strenuous activities after the surgery. He/she may take painkillers as advised by the doctor.
Cost OF CAPD Catheter Removal
Description
Cost
Cost of the procedure in India (for one-time peritoneal dialysis)
9500
Cost of the procedure in Hyderabad (for one-time peritoneal dialysis)
8000
Description
Cost
Number of days in the Hospital
4-6 hours
Type of surgery
Minor
Anaesthesia type
Local or general ( surgery) anaesthesia
Recovery
2-4 days
Duration of the procedure
20 min
Procedure
Minimally invasive
Risks and Complications of the CAPD Catheter
A few common complications associated with CAPD catheter are chances of infections, weight gain, hernia, and insufficient dialysis. In the case of continuous ambulatory peritoneal dialysis, the patient may need at least 3 to 5 exchanges to purify the blood completely.
Frequently Asked Questions about CAPD Catheter Removal
Continuous ambulatory peritoneal dialysis is often advised to those who cannot tolerate significant changes in fluid volume associated with hemodialysis. People who want to lead a normal life and work or travel easily should use a CAPD catheter for dialysis. Patients who have some residual function of the kidney can also use it. Kidney damage can occur in conditions like diabetes, high blood pressure levels, kidney infection, and multiple cysts in the kidney.
CAPD peritonitis occurs when bacteria enter through the dialysis tubing or direct infection from the catheter site. The chances of peritonitis increase when the person has diabetes, decreased albumin levels in the body, and malnutrition.
Grieff M, Mamo E, Scroggins G, Kurchin A. The ‘pull’ technique for removing peritoneal dialysis catheters: A call for a re-evaluation of practice standards. Perit Dial Int [Internet]. 2017 [cited 2022 Mar 4];37(2):225–9. Available from:https://pubmed.ncbi.nlm.nih.gov/28360368/
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