Laparoscopy as an effective technique for peritoneal catheter placement
Laparoscopia como técnica eficaz para la colocación del catéter peritoneal
Read
7473
Timeswas read the article
2156
Total PDF
5317
Total HTML
Share statistics
array:21 [ "pii" => "X2013251413002524" "issn" => "20132514" "doi" => "10.3265/Nefrologia.pre2012.Oct.11684" "estado" => "S300" "fechaPublicacion" => "2013-01-01" "documento" => "article" "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/" "subdocumento" => "fla" "cita" => "Nefrologia (English Version). 2013;33:137-8" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 4321 "formatos" => array:3 [ "EPUB" => 316 "HTML" => 3447 "PDF" => 558 ] ] "Traduccion" => array:1 [ "es" => array:17 [ "pii" => "X0211699513002527" "issn" => "02116995" "doi" => "10.3265/Nefrologia.pre2012.Oct.11684" "estado" => "S300" "fechaPublicacion" => "2013-01-01" "documento" => "article" "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/" "subdocumento" => "fla" "cita" => "Nefrologia. 2013;33:137-8" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 7936 "formatos" => array:3 [ "EPUB" => 349 "HTML" => 6873 "PDF" => 714 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Laparoscopia como técnica eficaz para la colocación del catéter peritoneal" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "137" "paginaFinal" => "138" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Laparoscopy as an effective technique for peritoneal catheter placement" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig1" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "copyright" => "Elsevier España" "figura" => array:1 [ 0 => array:4 [ "imagen" => "11684_108_35034_es_11684_f1.jpg" "Alto" => 443 "Ancho" => 600 "Tamanyo" => 93135 ] ] "descripcion" => array:1 [ "es" => "Supervivencia" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => " Departamento de Cirugía General, Isabel García-Méndez, Diana Faur, Ramon Farrès, Antoni Codina" "autores" => array:5 [ 0 => array:1 [ "apellidos" => "Departamento de Cirugía General" ] 1 => array:2 [ "nombre" => "Isabel" "apellidos" => "García-Méndez" ] 2 => array:2 [ "nombre" => "Diana" "apellidos" => "Faur" ] 3 => array:2 [ "nombre" => "Ramon" "apellidos" => "Farrès" ] 4 => array:2 [ "nombre" => "Antoni" "apellidos" => "Codina" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "X2013251413002524" "doi" => "10.3265/Nefrologia.pre2012.Oct.11684" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251413002524?idApp=UINPBA000064" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X0211699513002527?idApp=UINPBA000064" "url" => "/02116995/0000003300000001/v0_201502091331/X0211699513002527/v0_201502091334/es/main.assets" ] ] "itemSiguiente" => array:17 [ "pii" => "X2013251413002516" "issn" => "20132514" "doi" => "10.3265/Nefrologia.pre2012.Oct.11770" "estado" => "S300" "fechaPublicacion" => "2013-01-01" "documento" => "article" "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/" "subdocumento" => "fla" "cita" => "Nefrologia (English Version). 2013;33:139-40" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 4512 "formatos" => array:3 [ "EPUB" => 344 "HTML" => 3600 "PDF" => 568 ] ] "en" => array:9 [ "idiomaDefecto" => true "titulo" => "Nurse-psychologist interdisciplinary approach for advanced chronic kidney disease consultations: objectives and protocol" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "139" "paginaFinal" => "140" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Abordaje interdisciplinar enfermera-psicólogo en la consulta de enfermedad renal crónica avanzada: objetivos y protocolo" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Helena García- Llana, Rocío Rodríguez-Rey, Olga Celadilla, Auxiliadora Bajo, Rafael Sánchez-Villanueva, Gloria del Peso, Elena González, Filo Trocoli, Rafael Selgas" "autores" => array:9 [ 0 => array:2 [ "nombre" => "Helena" "apellidos" => "García- Llana" ] 1 => array:2 [ "nombre" => "Rocío" "apellidos" => "Rodríguez-Rey" ] 2 => array:2 [ "nombre" => "Olga" "apellidos" => "Celadilla" ] 3 => array:2 [ "nombre" => "Auxiliadora" "apellidos" => "Bajo" ] 4 => array:2 [ "nombre" => "Rafael" "apellidos" => "Sánchez-Villanueva" ] 5 => array:2 [ "nombre" => "Gloria" "apellidos" => "del Peso" ] 6 => array:2 [ "nombre" => "Elena" "apellidos" => "González" ] 7 => array:2 [ "nombre" => "Filo" "apellidos" => "Trocoli" ] 8 => array:2 [ "nombre" => "Rafael" "apellidos" => "Selgas" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "X0211699513002519" "doi" => "10.3265/Nefrologia.pre2012.Oct.11770" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X0211699513002519?idApp=UINPBA000064" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251413002516?idApp=UINPBA000064" "url" => "/20132514/0000003300000001/v0_201502091555/X2013251413002516/v0_201502091556/en/main.assets" ] "itemAnterior" => array:17 [ "pii" => "X2013251413002532" "issn" => "20132514" "doi" => "10.3265/Nefrologia.pre2012.Oct.11763" "estado" => "S300" "fechaPublicacion" => "2013-01-01" "documento" => "article" "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/" "subdocumento" => "fla" "cita" => "Nefrologia (English Version). 2013;33:136-7" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 3506 "formatos" => array:3 [ "EPUB" => 312 "HTML" => 2589 "PDF" => 605 ] ] "en" => array:8 [ "idiomaDefecto" => true "titulo" => "Response to 'Comment on 'Membranous glomerulonephritis associated with mieloperoxidase antineutrophil cytoplasmic antibody-associated glomerulonephritis''" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "136" "paginaFinal" => "137" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Guang-Yu Zhou, Li-Rong Bi" "autores" => array:2 [ 0 => array:2 [ "nombre" => "Guang-Yu" "apellidos" => "Zhou" ] 1 => array:2 [ "nombre" => "Li-Rong" "apellidos" => "Bi" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "X0211699513002535" "doi" => "10.3265/Nefrologia.pre2012.Oct.11763" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X0211699513002535?idApp=UINPBA000064" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251413002532?idApp=UINPBA000064" "url" => "/20132514/0000003300000001/v0_201502091555/X2013251413002532/v0_201502091556/en/main.assets" ] "en" => array:12 [ "idiomaDefecto" => true "titulo" => "Laparoscopy as an effective technique for peritoneal catheter placement" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "137" "paginaFinal" => "138" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => " Departamento de Cirugía General, Isabel García-Méndez, Diana Faur, Ramon Farrès, Antoni Codina" "autores" => array:5 [ 0 => array:2 [ "apellidos" => "Departamento de Cirugía General" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "affa" ] ] ] 1 => array:3 [ "nombre" => "Isabel" "apellidos" => "García-Méndez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "affb" ] ] ] 2 => array:3 [ "nombre" => "Diana" "apellidos" => "Faur" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "affb" ] ] ] 3 => array:3 [ "nombre" => "Ramon" "apellidos" => "Farrès" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "affc" ] ] ] 4 => array:3 [ "nombre" => "Antoni" "apellidos" => "Codina" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "affc" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Servicio de Cirugía General, Hospital Universitari Dr. Josep Trueta, Girona Girona, " "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "affa" ] 1 => array:3 [ "entidad" => "Unidad de Nefrología, Hospital Universitari Dr. Josep Trueta, Girona, " "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "affb" ] 2 => array:3 [ "entidad" => "Servicio de Cirugía General, Hospital Universitari Dr. Josep Trueta, Girona, " "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "affc" ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Laparoscopia como técnica eficaz para la colocación del catéter peritoneal" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig1" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "copyright" => "Elsevier España" "figura" => array:1 [ 0 => array:4 [ "imagen" => "11684_16025_42326_en_f15.11684.jpg" "Alto" => 1000 "Ancho" => 1292 "Tamanyo" => 92478 ] ] "descripcion" => array:1 [ "en" => "Survival" ] ] ] "textoCompleto" => "<p class="elsevierStylePara"><span class="elsevierStyleBold">To the Editor:</span></p><p class="elsevierStylePara"> </p><p class="elsevierStylePara">Peritoneal dialysis (PD) is one of the treatment options available for replacing renal function in patients with chronic renal failure.</p><p class="elsevierStylePara"> </p><p class="elsevierStylePara">The success of PD as a dialysis technique depends heavily on correct catheter placement into the peritoneal cavity. Several different methods are available for this purpose: laparoscopy, the percutaneous approach using the Seldinger technique or trocars, and surgical.<span class="elsevierStyleSup">1</span> No evidence exists regarding which technique provides the best results, although each technique obviously involves certain advantages and disadvantages. Purely surgical approaches require the availability of surgeons, operating rooms, and anaesthesia. Percutaneous techniques can be performed by nephrologists and/or radiologists in a properly equipped room, which obviates the need for waiting lists.<span class="elsevierStyleSup">2</span> Recent results were published regarding the safety of laparoscopy as compared to open surgery and regarding radiologist-assisted percutaneous techniques.<span class="elsevierStyleSup">3,4</span> Despite these advances, surgical techniques continue to be the most commonly used.</p><p class="elsevierStylePara"> </p><p class="elsevierStylePara">We enjoy a tight collaboration with the general surgery department at our hospital, which has led to our use of laparoscopy as the technique of choice. Here, we present our experience in the placement of peritoneal catheters.</p><p class="elsevierStylePara"> </p><p class="elsevierStylePara"><span class="elsevierStyleBold">MATERIAL AND METHOD</span></p><p class="elsevierStylePara"> </p><p class="elsevierStylePara">We reviewed 80 patients who received PD catheters between January 2007 and January 2012. Demographic and clinical data were collected prospectively.</p><p class="elsevierStylePara"> </p><p class="elsevierStylePara"><span class="elsevierStyleBold">Demographic data: </span>The sample consisted of 46 males and 34 females, with a mean age of 57 years (range: 18-91 years).</p><p class="elsevierStylePara"> </p><p class="elsevierStylePara"><span class="elsevierStyleBold">Surgical technique: </span>The intervention took place in a conventional surgical operating room. Under general anaesthesia and a sterile operating field, a 12mm Hasson trocar was placed in the supra-umbilical zone for the insertion of a 30º laparoscopic camera. Next, pneumoperitoneum at 12mmHg of pressure was achieved. The peritoneal cavity was explored, in particular the lower pelvis, looking for large zones free of adhesions for optimal catheter placement. A second 5mm laparoscopic trocar was inserted in the left para-rectal zone. The catheter was inserted with a guide through this second trocar. Under the visual control provided by the laparoscopic camera, the point of the catheter was advanced until reaching the ideal location in the pouch of Douglas. Only rarely, the presence of adhesions or connective tissue required the insertion of a third 5mm trocar in order to use instrumentation (forceps, hooks, or scalpel) in order to dissect and cauterise the impeding structures. After removing the guide and trocar, the internal catheter cuff was left in the zone immediately below the musculature. Finally, a subcutaneous tunnel was created for the distal end of the catheter.</p><p class="elsevierStylePara"> </p><p class="elsevierStylePara"><span class="elsevierStyleBold">RESULTS</span></p><p class="elsevierStylePara"> </p><p class="elsevierStylePara">A total of 89 surgeries were performed. In 9 cases, we documented poor catheter function during the first couple of weeks after catheter placement (less than 15 days). All of these cases required a second laparoscopic procedure due to the inability to recover the catheter through conservative techniques. In all of these cases, the catheter became trapped by the omentum or adhesions. A new catheter was placed, in addition to an omentectomy and clearing of adhesions. We did not observe any cases of infection of the catheter orifice, peritonitis, immediate hernia, haemoperitoneum, or death as an immediate consequence of the interventions.</p><p class="elsevierStylePara"> </p><p class="elsevierStylePara">Mean catheter survival during this period was 42 months, with a 95% confidence interval of 36.8-58.7 months (Figure 1).</p><p class="elsevierStylePara"> </p><p class="elsevierStylePara"><span class="elsevierStyleBold">CONCLUSIONS</span></p><p class="elsevierStylePara"> </p><p class="elsevierStylePara">- Laparoscopy is a safe technique with very good results for long-term catheter functioning.</p><p class="elsevierStylePara">- The primary issues immediately following catheter placement were secondary to poor catheter functioning, above all due to omental trapping. We did not observe any severe complications.</p><p class="elsevierStylePara"> </p><p class="elsevierStylePara"><span class="elsevierStyleBold">Conflicts of interest</span></p><p class="elsevierStylePara"> </p><p class="elsevierStylePara">The authors declare that they have no conflicts of interest related to the contents of this article.</p><p class="elsevierStylePara"><a href="grande/11684_16025_42326_en_f15.11684.jpg" class="elsevierStyleCrossRefs"><img src="11684_16025_42326_en_f15.11684.jpg" alt="Survival"></img></a></p><p class="elsevierStylePara">Figure 1. Survival</p>" "pdfFichero" => "P1-E547-S3875-A11684-EN.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:8 [ "identificador" => "fig1" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "copyright" => "Elsevier España" "figura" => array:1 [ 0 => array:4 [ "imagen" => "11684_16025_42326_en_f15.11684.jpg" "Alto" => 1000 "Ancho" => 1292 "Tamanyo" => 92478 ] ] "descripcion" => array:1 [ "en" => "Survival" ] ] ] "bibliografia" => array:2 [ "titulo" => "Bibliography" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:4 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "Chow KM,\u{A0}Szeto CC,\u{A0}Leung CB,\u{A0}Kwan BC,\u{A0}Pang WF,\u{A0}Li PK.\u{A0}Tenckhoff\u{A0}catheter\u{A0}insertion\u{A0}by\u{A0}nephrologists: open dissection technique. Perit Dial Int 2010;30:524-7. <a href="http://www.ncbi.nlm.nih.gov/pubmed/20378842" target="_blank">[Pubmed]</a>" "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => null ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "Brunier G,\u{A0}Hiller JA,\u{A0}Drayton S,\u{A0}Pugash RA,\u{A0}Tobe SW.\u{A0}A change to radiological peritoneal dialysis catheter insertion: three-month outcomes. Perit Dial Int 2010;30:528-33. <a href="http://www.ncbi.nlm.nih.gov/pubmed/20421428" target="_blank">[Pubmed]</a>" "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => null ] ] ] ] 2 => array:3 [ "identificador" => "bib3" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "Moon JY,\u{A0}Song S,\u{A0}Jung KH,\u{A0}Park M,\u{A0}Lee SH,\u{A0}Ihm CG.\u{A0}Fluoroscopically guided peritoneal dialysis catheter placement. Long-term results from a single centre. Perit Dial Int 2008;28:163-9. <a href="http://www.ncbi.nlm.nih.gov/pubmed/18332452" target="_blank">[Pubmed]</a>" "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => null ] ] ] ] 3 => array:3 [ "identificador" => "bib4" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "García-Cruz E,\u{A0}Vera-Rivera M,\u{A0}Corral Molina JM,\u{A0}Mallafré-Sala JM,\u{A0}Alcaraz A.\u{A0}Colocación de catéter de diálisis peritoneal por laparoscopia: descripción y resultados de una técnica propia de dos puertos. Nefrologia 2010;30(3):354-9. <a href="http://www.ncbi.nlm.nih.gov/pubmed/20514103" target="_blank">[Pubmed]</a>" "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => null ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/20132514/0000003300000001/v0_201502091555/X2013251413002524/v0_201502091556/en/main.assets" "Apartado" => array:4 [ "identificador" => "35438" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Letters to the Editor - Brief papers about basic research or clinical experiences" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/20132514/0000003300000001/v0_201502091555/X2013251413002524/v0_201502091556/en/P1-E547-S3875-A11684-EN.pdf?idApp=UINPBA000064&text.app=https://revistanefrologia.com/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251413002524?idApp=UINPBA000064" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 10 | 7 | 17 |
| 2024 October | 48 | 34 | 82 |
| 2024 September | 39 | 37 | 76 |
| 2024 August | 48 | 44 | 92 |
| 2024 July | 37 | 27 | 64 |
| 2024 June | 41 | 40 | 81 |
| 2024 May | 58 | 42 | 100 |
| 2024 April | 49 | 19 | 68 |
| 2024 March | 33 | 23 | 56 |
| 2024 February | 40 | 39 | 79 |
| 2024 January | 25 | 20 | 45 |
| 2023 December | 23 | 19 | 42 |
| 2023 November | 35 | 25 | 60 |
| 2023 October | 30 | 27 | 57 |
| 2023 September | 27 | 30 | 57 |
| 2023 August | 26 | 24 | 50 |
| 2023 July | 26 | 23 | 49 |
| 2023 June | 30 | 28 | 58 |
| 2023 May | 47 | 41 | 88 |
| 2023 April | 31 | 20 | 51 |
| 2023 March | 29 | 30 | 59 |
| 2023 February | 24 | 25 | 49 |
| 2023 January | 33 | 23 | 56 |
| 2022 December | 36 | 30 | 66 |
| 2022 November | 41 | 32 | 73 |
| 2022 October | 35 | 32 | 67 |
| 2022 September | 28 | 31 | 59 |
| 2022 August | 39 | 41 | 80 |
| 2022 July | 30 | 45 | 75 |
| 2022 June | 37 | 30 | 67 |
| 2022 May | 21 | 29 | 50 |
| 2022 April | 36 | 53 | 89 |
| 2022 March | 37 | 61 | 98 |
| 2022 February | 25 | 46 | 71 |
| 2022 January | 33 | 36 | 69 |
| 2021 December | 29 | 32 | 61 |
| 2021 November | 23 | 34 | 57 |
| 2021 October | 36 | 44 | 80 |
| 2021 September | 32 | 32 | 64 |
| 2021 August | 23 | 34 | 57 |
| 2021 July | 31 | 41 | 72 |
| 2021 June | 23 | 17 | 40 |
| 2021 May | 29 | 30 | 59 |
| 2021 April | 58 | 36 | 94 |
| 2021 March | 48 | 29 | 77 |
| 2021 February | 36 | 10 | 46 |
| 2021 January | 29 | 21 | 50 |
| 2020 December | 27 | 14 | 41 |
| 2020 November | 28 | 10 | 38 |
| 2020 October | 14 | 13 | 27 |
| 2020 September | 22 | 8 | 30 |
| 2020 August | 39 | 10 | 49 |
| 2020 July | 19 | 6 | 25 |
| 2020 June | 25 | 12 | 37 |
| 2020 May | 33 | 16 | 49 |
| 2020 April | 24 | 17 | 41 |
| 2020 March | 41 | 13 | 54 |
| 2020 February | 31 | 14 | 45 |
| 2020 January | 36 | 12 | 48 |
| 2019 December | 33 | 16 | 49 |
| 2019 November | 26 | 21 | 47 |
| 2019 October | 6 | 5 | 11 |
| 2019 September | 17 | 17 | 34 |
| 2019 August | 16 | 10 | 26 |
| 2019 July | 18 | 17 | 35 |
| 2019 June | 20 | 12 | 32 |
| 2019 May | 18 | 20 | 38 |
| 2019 April | 34 | 23 | 57 |
| 2019 March | 25 | 20 | 45 |
| 2019 February | 20 | 14 | 34 |
| 2019 January | 25 | 22 | 47 |
| 2018 December | 91 | 42 | 133 |
| 2018 November | 149 | 21 | 170 |
| 2018 October | 123 | 14 | 137 |
| 2018 September | 71 | 19 | 90 |
| 2018 August | 56 | 16 | 72 |
| 2018 July | 65 | 23 | 88 |
| 2018 June | 85 | 17 | 102 |
| 2018 May | 76 | 20 | 96 |
| 2018 April | 109 | 9 | 118 |
| 2018 March | 79 | 7 | 86 |
| 2018 February | 87 | 8 | 95 |
| 2018 January | 73 | 7 | 80 |
| 2017 December | 67 | 9 | 76 |
| 2017 November | 48 | 12 | 60 |
| 2017 October | 37 | 7 | 44 |
| 2017 September | 40 | 12 | 52 |
| 2017 August | 35 | 6 | 41 |
| 2017 July | 30 | 15 | 45 |
| 2017 June | 34 | 5 | 39 |
| 2017 May | 33 | 11 | 44 |
| 2017 April | 25 | 8 | 33 |
| 2017 March | 25 | 3 | 28 |
| 2017 February | 20 | 8 | 28 |
| 2017 January | 16 | 7 | 23 |
| 2016 December | 38 | 5 | 43 |
| 2016 November | 56 | 6 | 62 |
| 2016 October | 80 | 11 | 91 |
| 2016 September | 74 | 5 | 79 |
| 2016 August | 117 | 1 | 118 |
| 2016 July | 147 | 7 | 154 |
| 2016 June | 89 | 0 | 89 |
| 2016 May | 123 | 0 | 123 |
| 2016 April | 72 | 0 | 72 |
| 2016 March | 80 | 0 | 80 |
| 2016 February | 97 | 0 | 97 |
| 2016 January | 120 | 0 | 120 |
| 2015 December | 112 | 0 | 112 |
| 2015 November | 79 | 0 | 79 |
| 2015 October | 77 | 0 | 77 |
| 2015 September | 63 | 0 | 63 |
| 2015 August | 74 | 0 | 74 |
| 2015 July | 71 | 0 | 71 |
| 2015 June | 41 | 0 | 41 |
| 2015 May | 46 | 0 | 46 |
| 2015 April | 6 | 0 | 6 |
Show all
