Peritoneal dialysis access: what's the best approach?
There are many procedures for placement of an intraabdominal peritoneal catheter for peritoneal dialysis. Each one has its own advantages and disadvantages. Although the blind technique with a trocar was the initial procedure utilized, over the years interventional nephrologists and surgeons have evolved to more modern techniques that allow more direct visualization of the peritoneal cavity, minimizing complications catheter-related. Novel techniques such as peritoneoscopy and laparoscopy appear to be associated with a reduced number of exit site infections, lower incidence of peritonitis, decreased risk of leakage and improved catheter survival. Since some studies have not seen all these benefits associated with these procedures, one recognizes the importance of the experience obtained with each procedure in every center and the impossibility of generalization.
Miguel C
MC
Riella
Domingos C
DC
Chula
D057785:Catheters; D005471:Fluoroscopy; D006801:Humans; D010535:Laparoscopy; D010530:Peritoneal Dialysis / Q000295:instrumentation / Q000379:methods*