A Comparison Between Chinese Finger Trap And Roman Sandals Suture In Peritoneal Dialysis Catheters For Chronic Kidney Disease Applied In Veterinary Medicine

Catheters designed for chronic peritoneal dialysis have Dacron cuffs meant to protect the patient against bacterial infection and catheter migration that may lead to a high peritonitis rate in case of extensive use. Peritoneal catheter is fixed by suturing the skin with a non-absorbable monofilament thread ranging from 4/0 to 2/0. The two types of sutures most commonly used are Roman sandal and Chinese fingertrap. In this study we selected 44 dogs, both males and females with CKD (Chronic Kidney Disease) undergoing peritoneal dialysis. We have created two groups: first group (A) of 22 patients were treated using a peritoneal catheter for chronic treatment, with Roman sandal suture and the second group of 22 patients (B) were treated using a peritoneal catheter for chronic treatment, with Chinese fingertrap suture. All patients from group A kept the catheters until the end of the treatment (22 out of 22, 100%). Eight out of 14 patients (36.36%) from group B needed secondary suture. Four out of the eight patients (18.18%) form the group B needed secondary suturing because of the suture weakening. Three out of the eight patients (13.63%) form the group B needed secondary suturing of the catheter because of the skin rupture at the initial placement spot of the suture. One of the eight patients (4.54%) form the group B needed secondary suturing of the catheter because of the catheter replacement, due to the weakening of the suture and its lack of resistance to the aggression manifested by the patients.