Peritoneal catheter fixation versus nonfixation in open surgery: A meta-analysis.
4 affiliations
- 1Department of Nephrology, The Wujin Clinical College of Xuzhou Medical University, Changzhou, Jiangsu, China.
- 2Jiangsu Key Laboratory of New Drug Research and Clinical Pharmacy, Xuzhou Medical University, Xuzhou, Jiangsu, China.
- 3Department of Nephrology, People's Hospital of Hainan Tibetan Autonomous Prefecture, Hainan Tibetan Autonomous Prefecture, Qinghai, China.
- 4Department of Nephrology, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.
Abstract
Background
The objective of this study was to compare the advantages and disadvantages of peritoneal dialysis (PD) catheter fixation versus nonfixation in open surgery for PD catheter placement.Methods
We searched the PubMed, Embase, Cochrane Library, China National Knowledge Infrastructure, and Wanfang databases from their inception to March 1, 2025. Eligible studies comparing PD catheter fixation with nonfixation in open surgery were included. The data were analyzed using Review Manager Version 5.3 and Stata Version 14.Results
Thirteen studies were included in the meta-analysis. A total of 648 patients were included in the PD catheter fixation group, and 627 patients were included in the PD catheter nonfixation group. Compared with PD catheter nonfixation, PD catheter fixation reduced the incidence of catheter displacement during open surgery (odds ratio [OR] 0.08, 95% confidence interval [CI] 0.04-0.16; P < .00001). However, there were no differences between the catheter fixation and catheter nonfixation groups concerning catheter malfunction without catheter displacement (OR 1.52, 95% CI 0.29-8.00, P = .62), omentum wrapping (OR 0.36, 95% CI 0.11-1.18, P = .09), infection (OR 0.95, 95% CI 0.51-1.78, P = .87), bleeding (OR 2.78, 95% CI 0.11-69.74, P = .53), infusion pain (OR 0.42, 95% CI 0.15-1.16, P = .10), or hernia (OR 0.66, 95% CI 0.11-4.07, P = .65). In addition, the operating time in the catheter fixation group was longer than that in the catheter nonfixation group (mean difference 4.18, 95% CI 1.42-6.94; P = .003).Conclusion
PD catheter fixation increased the operating time, but it reduced the incidence of catheter displacement and did not increase other complications in open surgery. PD catheter fixation is safe and effective in open surgery.
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BibTeX
@article{tang2026peritoneal,
title = {{Peritoneal catheter fixation versus nonfixation in open surgery: A meta-analysis.}},
author = {Weigang Tang and Wei Jiang and Zhixia Wang and Chi Zhang and Tong Li and Xianping Li and Xiaoming Liu and Qing Luo and Macuo Wan and Wanxin Zhong and Zhuoma Caiji and Danzhi Hangxiu and Wei Zhao and Fancheng Kong and Wanping Zhou and Cuoji Yin and Xiang Dan and Zhanyin Yang and Jiali Qi and Guoyuan Lu and Wei Xu},
journal = {Medicine},
year = {2026},
month = oct,
doi = {10.1097/md.0000000000051202},
url = {https://europepmc.org/article/MED/42888640},
note = {CC BY},
}
RIS
TY - JOUR
TI - Peritoneal catheter fixation versus nonfixation in open surgery: A meta-analysis.
AU - Weigang Tang
AU - Wei Jiang
AU - Zhixia Wang
AU - Chi Zhang
AU - Tong Li
AU - Xianping Li
AU - Xiaoming Liu
AU - Qing Luo
AU - Macuo Wan
AU - Wanxin Zhong
AU - Zhuoma Caiji
AU - Danzhi Hangxiu
AU - Wei Zhao
AU - Fancheng Kong
AU - Wanping Zhou
AU - Cuoji Yin
AU - Xiang Dan
AU - Zhanyin Yang
AU - Jiali Qi
AU - Guoyuan Lu
AU - Wei Xu
PY - 2026
DA - 2026/10/01
JO - Medicine
DO - 10.1097/md.0000000000051202
UR - https://europepmc.org/article/MED/42888640
AB - Background The objective of this study was to compare the advantages and disadvantages of peritoneal dialysis (PD) catheter fixation versus nonfixation in open surgery for PD catheter placement.Methods We searched the PubMed, Embase, Cochrane Library, China National Knowledge Infrastructure, and Wanfang databases from their inception to March 1, 2025. Eligible studies comparing PD catheter fixation with nonfixation in open surgery were included. The data were analyzed using Review Manager Version 5.3 and Stata Version 14.Results Thirteen studies were included in the meta-analysis. A total of 648 patients were included in the PD catheter fixation group, and 627 patients were included in the PD catheter nonfixation group. Compared with PD catheter nonfixation, PD catheter fixation reduced the incidence of catheter displacement during open surgery (odds ratio [OR] 0.08, 95% confidence interval [CI] 0.04-0.16; P < .00001). However, there were no differences between the catheter fixation and catheter nonfixation groups concerning catheter malfunction without catheter displacement (OR 1.52, 95% CI 0.29-8.00, P = .62), omentum wrapping (OR 0.36, 95% CI 0.11-1.18, P = .09), infection (OR 0.95, 95% CI 0.51-1.78, P = .87), bleeding (OR 2.78, 95% CI 0.11-69.74, P = .53), infusion pain (OR 0.42, 95% CI 0.15-1.16, P = .10), or hernia (OR 0.66, 95% CI 0.11-4.07, P = .65). In addition, the operating time in the catheter fixation group was longer than that in the catheter nonfixation group (mean difference 4.18, 95% CI 1.42-6.94; P = .003).Conclusion PD catheter fixation increased the operating time, but it reduced the incidence of catheter displacement and did not increase other complications in open surgery. PD catheter fixation is safe and effective in open surgery.
SN - 0304-5412
SN - 1536-5964
ER -