title: [Complications after placement of peritoneal catheter].
abstract: BACKGROUND
  Peritoneal dialysis is one of the modalities used for treatment of end-stage chronic kidney failure. Nowadays, this method is complementary to haemodialysis and renal transplantation. Owing to the rich vascularization of the peritoneum, it is used in the processes of osmosis and diffusion, enabling the removal of uremic material from the body. The procedure includes introduction of peritoneal fluid via the peritoneal catheter.
  
  
  RESULTS
  The catheter is placed through the anterior abdominal wall with its tip positioned in the small pelvis. There are several techniques for catheter placement considered minimally invasive, which, however, may be associated with various complications. These complications can be divided into mechanical (catheter dysfunction, cuff protrusion, hernia, dialysate leaks, visceral perforation) and infectious (early peritonitis, exit site or tunnel infection, surgical wounds). In most cases, such complications are rare and can be successfully managed using conservative therapy; however, in some situations severe complications can endanger the life of the patient. On-time recognition of complications, particularly in patients at risk, is of paramount importance for an effective treatment. The development of complications can increase the morbidity and the chance of treatment failure, and therefore transfer to haemodialysis.
  
  
  CONCLUSIONS
  The preoperative evaluation and determination of the risk factors as well as the early recognition and adequate management of complications are essential in their prevention.
authors.affiliation: Klinika za nefrologiju i klinicku imunologiju, Klinicki centar Vojvodine, Novi Sad.
authors.forename: Tatjana Durdević
authors.initials: TD
authors.lastname: Mirković
authors.forename: Milan
authors.initials: M
authors.lastname: Popov
authors.forename: Milan
authors.initials: M
authors.lastname: Korica
authors.forename: Sinisa
authors.initials: S
authors.lastname: Mirković
mesh_terms: D002408:Catheters, Indwelling / Q000009:adverse effects*; D006801:Humans; D010530:Peritoneal Dialysis / Q000009:adverse effects*; D012307:Risk Factors