Complications - Peritoneal dialysis: Open catheter insertion in CAPD

  1. Prevention and management of intraoperative complications

    Injury to abdominal organs

    • Careful opening of the abdominal cavity under direct view
    • Careful insertion of the catheter

    Bleeding

    • Blunt dissection of the rectus muscle

    In general, careful dissection technique is rarely fraught with intra-operative complications. When in doubt enlarge the access.

  2. Prevention and management of intraoperative complications

    Secondary bleeding

    • Compression dressing, possibly revision surgery

    Peritonitis

    • Laparoscopy, possibly laparotomy

    Wound infection

    • Open wound care
Prevention and treatment of catheter specific complications

KinkingKinking can be avoided by careful tunneling and inspection of the cuff position with the ant

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