J Yeungnam Med Sci.  2022 Jan;39(1):18-23. 10.12701/yujm.2021.01109.

Puncture needle with a hard plastic sheath and plastic wings minimizes repuncture attempts in ultrasound-guided paracentesis: a retrospective case-control study

• Son IW
• Kim S
• Hong SB
• Lee NK
• Jeong MR
• Han SY
• Woo HY

• KMID: 2525023
• DOI: http://doi.org/10.12701/yujm.2021.01109

Abstract

Background
This study was performed to evaluate periprocedural factors, complications, and repuncture rate of the newly developed puncture needle and compare it with the routinely used puncture needle for ultrasound (US)-guided paracentesis.
Methods
We retrospectively identified 137 patients who underwent US-guided paracentesis between July 2018 and March 2019. Among them, 82 patients underwent US-guided paracentesis with a newly developed puncture needle. The other 55 patients underwent US-guided paracentesis with a routinely used puncture needle. The periprocedural factors, complications, and repuncture rate were compared between the two groups using the Mann-Whitney U test and Fisher exact test. The repuncture-associated factors were assessed using logistic regression analysis.
Results
There were no major or minor complications in either group. The rate of repuncture was significantly lower in the group using the newly developed puncture needle compared with the group using the routinely used puncture needle (p=0.01). The duration of the procedure was significantly shorter with the newly developed puncture needle compared with the routinely used puncture needle (p=0.01). In univariate analysis, the thickness of the abdominal wall (p=0.04) and the use of the newly developed puncture needle (p=0.01) were significantly associated with the rate of repuncture. In multivariate analysis, only the use of the newly developed puncture needle was significantly associated with the rate of repuncture.
Conclusion
Using this novel puncture needle with a hard plastic sheath and plastic wings, the rate of repuncture and the duration of the procedure were decreased without complications of US-guided paracentesis.

Keyword

Ascites; Paracentesis; Repuncture; Ultrasonography

Figure

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  Fig. 1. Puncture needles for paracentesis. (A) Routinely used puncture needle. (B) Newly developed puncture needle. The newly developed puncture needle has a hard plastic sheath (arrow) and plastic wings (arrowhead).

Reference

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