Fig. 3.

A–F Exit-site relocation by external splicing and cuff removal—second part. A the catheter is externally lengthened by connecting its remaining free end to the second edge of the double-barbed titanium extender; B the adapter used to extend the catheter remains outside the new exit-site to not hinder its maturation; C skin incision of about 1–2 cm at the level of the old exit-site sinus is carried out; D then, the adipose and scar tissue adjacent to the infected superficial cuff is removed; E eventually, the infected superficial cuff connected to the distal part of the old catheter is taken out through the old exit-site; F the new-exit site is distant 4–5 cm from the skin incision performed to remove the old exit-site