Individualized Option of Veress Needle and Peritoneal Dialysis for Patients with Kidney Disease

The convenience of veress needle technology

A hospital's nephrology department successfully carried out peritoneal dialysis puncture catheterization for a 50-year-old patient with renal failure with the assistance of veress needle under the guidance of color ultrasound, shortening the conventional operation time of 2 to 3 hours to around 1 hour. Additionally, because of the small incision, the patient's pain was greatly reduced, and postoperative recovery was fast. The patient is now on home dialysis with a stable condition.

The patient's renal failure was severe and needed dialysis to improve symptoms and control the condition. However, due to inconvenient transportation to the hospital, it was difficult for the patient to complete regular dialysis. After careful examination, residual kidney function was found in the patient; therefore, the veress needle peritoneal dialysis treatment was implemented. Dialysis is a therapeutic method that removes components of body fluids through semi-permeable membranes. It can be divided into two types: hemodialysis and peritoneal dialysis. When kidney disease develops into uremia, hemodialysis is often necessary to remove metabolic waste products from the blood to purify it. Hemodialysis requires the use of anticoagulants, which can cause a certain level of clotting risk and present a dilemma for patients with cardiovascular disease. Additionally, to ensure normal metabolism, patients generally need to undergo three hemodialysis sessions a week, and each session lasts four hours, which can have some effect on their lives. Furthermore, infectious disease patients, such as hepatitis B and C patients, cannot share equipment with others during hemodialysis, which also increases their medical costs.

Compared with hemodialysis, veress needle technology peritoneal dialysis is more convenient, economical, and applicable. It can offer kidney disease patients more treatment options. Peritoneal dialysis establishes a passage by placing a chopstick-sized catheter through the abdominal wall and exchanges the plasma components on the other side of the peritoneum with peritoneal dialysis fluid to remove metabolic products and excess water and waste materials. Additionally, it can supplement the substances needed by the body with peritoneal dialysis fluid. Only one small operation to place the catheter is required for peritoneal dialysis, and the catheter can be used for a lifetime. Patients only need to replace the external catheter regularly. As the fluid exchange is simple, patients can learn the peritoneal dialysis operation method under the doctor's guidance and perform peritoneal dialysis on their own at home, which is more convenient.

Veress needle technology reduces trauma and makes peritoneal dialysis more precise

The relevant technology of peritoneal dialysis is also developing continuously. The original peritoneal dialysis required an incision, while the minimally invasive catheter placement guided by color ultrasound only requires a small incision to open the abdominal wall fat layer, without cutting through the straight abdominal muscle, reducing muscle damage. In addition, the application of veress needle further reduces the operation's damage and improves its success rate. The veress needle has a protective device, which accurately locates the penetration of the abdominal wall under ultrasound guidance. The veress needle's front end becomes blunt and can avoid puncturing the abdominal cavity organs, reducing the occurrence of bleeding and other complications. Furthermore, due to the precision of the operation, the operation time can be greatly reduced, and the incision is smaller, which makes postoperative recovery faster for patients. Therefore, patients with various acute and chronic kidney failures can use peritoneal dialysis assisted by veress needle technology, combined with appropriate drug treatment, to effectively delay the progression of kidney failure, protect residual kidney function, and provide a better treatment choice for patients who are not convenient for regular hospital dialysis and whose physique is relatively weak (such as long-term bedridden patients).