Mechanical Complications of Peritoneal Dialysis
Fig. 13.1 Superficial cuff extrusion from skin (Courtesy of Dr. Stephen Haggerty) When the external cuff is visible, the patient is usually referred back to the surgeon for catheter replacement….
Pre-sternal and Extended Catheters
Fig. 9.1 Intraperitoneal and extraperitoneal PD catheter designs (Courtesy of W. Kirt Nichols, MD) A. Tenckhoff Catheters: Makeup: These catheters are made up of Silicone rubber with one or…
Advanced Laparoscopic Insertion of Peritoneal Dialysis Catheters
Fig. 8.1 Catheter mapping. The transverse incision (TI) is marked overlying the left rectus muscle (a). The distal cuff (DC) is held in place while an arc is made on…
Buried Catheters: How and Why?
Fig. 10.1 Variations of buried catheter placement. Diagrams of different buried catheter configurations. The arrows point the area that is initially embedded. The different configurations are presternal exit sites (a),…
Overview of Catheter Choices and Implantation Techniques
Fig. 5.1 Section of the abdominal wall – coronal plane The main muscles of the abdominal wall are the rectus abdominis and pyramidalis muscles, which are anterior; the external and…
Surgical Considerations for Open Placement of Peritoneal Dialysis Catheters
Fig. 6.1 Optimal peritoneal dialysis catheter positioning. Patient’s beltline is marked preoperatively, while supine and standing to ensure ease of future dialysis. Following sterile preparation, the distal end of the…
Physiology of Peritoneal Dialysis
D/Pcreatinine ratio at 4 h Transporter type D/Pcreatinine 0.81–1.03 High D/Pcreatinine 0.65–0.81 High average D/Pcreatinine 0.50–0.65 Low average D/Pcreatinine 0.34–0.5 Low Modified from Twardowski [23] Higher transporters achieve the most…
Management of Hernias in the Context of Peritoneal Dialysis
Modifiable Non modifiable BMI Age Sedentary lifestyle Gender Smoking Ethnicity Modality of PD – CAPD Polycystic kidney disease Comorbidities (i.e. diabetes, steroid use, BPCO) Retrospective studies reported a prevalence of…
Infectious Complications of Peritoneal Dialysis
© Springer International Publishing AG 2017Stephen Haggerty (ed.)Surgical Aspects of Peritoneal Dialysis10.1007/978-3-319-52821-2_14 14. Infectious Complications of Peritoneal Dialysis L. Tammy Ho1 (1) Division of Nephrology and Hypertension, Rm 3215 Evanston Hospital, 2650 Ridge Ave, Evanston, IL 60201,…
Diagnosis and Management of Catheter Dysfunction
© Springer International Publishing AG 2017Stephen Haggerty (ed.)Surgical Aspects of Peritoneal Dialysis10.1007/978-3-319-52821-2_12 12. Diagnosis and Management of Catheter Dysfunction Guner Ogunc1 (1) University of Akdeniz, Faculty of Medicine, General Surgery Department, Antalya, Turkey …
