[Late abdominal wall leaks of dialysis fluid--own experience in conservative treatment].
The late abdominal wall leaks (LAWL) of dialysis fluid is a serious technical complication of continuous ambulatory peritoneal dialysis (CAPD). Manifestation of LAWL is a significant diagnostic and therapeutic problem. The aim of our study was to establish of diagnostic procedure and the methods of treatment of LAWL. The group of 80 patients treated with CAPD was observed during one-year-period. LAWL appeared in 8 patients from this group. LAWL was diagnosed by: physical examination, abdominal circumference measurement, ultrasound examination of abdominal wall. Patients with LAWL were temporary transferred from CAPD to automated peritoneal dialysis (APD). After applied treatment the remission of leakage was observed. Basing on performed observation we concluded, that physical examination, abdominal circumference measurement and ultrasound examination of abdominal wall are the basal diagnostic methods of LAWL and that temporary change of dialysis method from CAPD to APD is an effective method of LAWL treatment.
Grzebalska
A M
AM
Katedra i Klinika Nefrologii Akademii Medycznej w Lublinie. Margra@asklepios.am.Lublin.pl
Majdan
M
M
Swatowski
A
A
Brzostowska-Szczepaniak
J
J
Ksiazek
A
A
D000328:Adult; D000368:Aged; D015314:Dialysis Solutions; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D008991:Monitoring, Physiologic; D010529:Peritoneal Cavity / Q000000981:diagnostic imaging / Q000503:physiopathology*; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000009:adverse effects* / Q000379:methods; D014463:Ultrasonography
D015314:Dialysis Solutions