Unroofing surgery with en bloc resection of the skin and tissues around the peripheral cuff

摘要

Peritoneal catheter infection is a common and significant problem in maintaining peritoneal dialysis (PD). Although the incidence rate of peritonitis related to exit-site and catheter infection has diminished with the increasing use of exit-site antibiotic prophylaxis (1), persistent exit-site infection can lead to infection of the superficial cuff in two-cuff devices. Intractable cuff infection leads directly to catheter loss and withdrawal from PD. In fact, PD-related infections are the major cause of withdrawalfrom PD (2,3). Therefore, once intractable superficial cuff infection has occurred, the proper strategy should be pursued.