Surgical Management of Complications with Peritoneal Dialysis.
This report reviews the most common surgical interventions and complications of chronic peritoneal dialysis (PD) patients. Based on the current knowledge as well as our experience we detail the role of these surgical procedures. We supplement the reported knowledge in the field with our own experience in this area. The areas discussed include early complications such as surgical wound hemorrhage, bleeding from the catheter, intestinal perforation and urinary bladder perforation, dialysate leakage through the wound, as well as late complications including catheter kinking or occlusion, retention of fluid in the peritoneal recess, hernias and hydrothorax, and encapsulating peritoneal sclerosis. We also briefly cover the surgical aspects of exit-site infection and peritonitis. An understanding by nephrologists of the role for surgical intervention in PD patients will improve their care and outcomes.
Department of General, Endocrinological Surgery and Gastroenterological Oncology, Poznan University of Medical Sciences, Poznan, Poland.
Andrzej
A
Ratajczak
Department of General, Endocrinological Surgery and Gastroenterological Oncology, Poznan University of Medical Sciences, Poznan, Poland.
Małgorzata
M
Lange-Ratajczak
Department of General, Endocrinological Surgery and Gastroenterological Oncology, Poznan University of Medical Sciences, Poznan, Poland.
Adam
A
Bobkiewicz
Department of General, Endocrinological Surgery and Gastroenterological Oncology, Poznan University of Medical Sciences, Poznan, Poland.
Adam
A
Studniarek
D055499:Catheter-Related Infections / Q000503:physiopathology / Q000601:surgery*; D002408:Catheters, Indwelling / Q000009:adverse effects*; D015314:Dialysis Solutions / Q000008:administration & dosage; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006876:Hydrothorax / Q000209:etiology / Q000601:surgery; D008297:Male; D010530:Peritoneal Dialysis / Q000009:adverse effects* / Q000379:methods; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000009:adverse effects / Q000379:methods; D056627:Peritoneal Fibrosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D010538:Peritonitis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D011788:Quality of Life; D018570:Risk Assessment; D016896:Treatment Outcome
D015314:Dialysis Solutions