Surgical implantation procedure for peritoneal dialysis catheters. Experience of a single center

Abstract

While performing a vascular approach is a frequent act for a surgeon working with a hemodialysis center, the implantation of a peritoneal dialysis catheter is often less frequent due to a lower number of invident patients : some centers will sometimes have less than ten new patients per year treated with PD; When a surgeon begins this activity, it is therefore important that his PD catheter implantation technique is mastered from the outset to allow the nephrologist to take care of his patient in the best conditions with a functional PD catheter regardless of the PD modality. The catheter implantation on an outpatient basis, under local or general anesthesia, makes it possible to limit the duration of hospitalization. The use of swanneck catheters with a straight extremity, a tangential pre-peritoneal path, the peroperative functional check completed by an introduction of 100 ml of dialysate, a first repair of the dressing and a first use on the tenth day allow, in our experience, to have a functional catheter in 93.5% of cases.