Abstract

VICENTE, Rita et al. Surgical role in the management of peritoneal dialysis catheters- evidence and proposals to improve current practices. Port J Nephrol Hypert [online]. 2021, vol.35, n.2, pp.69-74.  Epub June 29, 2021. ISSN 0872-0169.  https://doi.org/10.32932/pjnh.2021.07.123.

Peritoneal dialysis (PD) relies on adequate function of PD catheter. Mechanical complications are a major cause of dropout among PD patients. A prompt timing and an appropriate intervention may overcome these problems with catheter salvage, without interrupting PD treatment. Many Portuguese centers still lack a proper articulation between nephrology and surgical departments. We describe current available surgical approaches in the implantation of PD catheters, management of mechanical complications, exit‑site infections and other abdominal surgical procedures. Our aim is to reinforce the need for an established protocol of action between these departments as occurs with vascular access in hemodialysis.

Keywords : peritoneal dialysis; peritoneal dialysis catheters; mechanical complications.

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