Insertion of a Peritoneal Dialysis Catheter

DEFINITION

Peritoneal dialysis is a way to remove waste products from your blood when your kidneys can no longer do the job adequately. During peritoneal dialysis, small blood vessels along your abdominal wall lining exchange waste products within the blood by way of osmosis. Peritoneal dialysis differs from hemodialysis, a more commonly used blood-filtering procedure. With peritoneal dialysis, you can give yourself treatments at home, at work or while traveling. You may be able to use fewer medications and eat a less restrictive diet than you can with hemodialysis. Peritoneal dialysis isn’t an option for everyone with kidney failure.

REASON FOR PROCEDURE

• End stage renal disease

Symptoms

• Weakness
• Poor appetite
• Confusion
• Low urine production

TREATMENT OPTIONS

Nonsurgical Option

Not applicable

Surgical Option

Laparoscopic insertion or the conventional open insertion. Sometimes a peritoneal dialysis catheter can be placed under local anesthesia. Most procedures include an omentopexy or omentectomy which involves securing or removing a portion of intra-abdominal fat to ensure optimal catheter function.

RISKS ASSOCIATED WITH SURGERY

• Bleeding
• Infection
• Intestinal injury
• Hernia

(This is only a partial list of potential complications)

PRE-OPERATIVE PREPARATION

May include blood work, urinalysis and chest x-ray.

AVERAGE HOSPITAL STAY

Varies amongst patients, but the majority of patients go home the same day. Hospitalizations vary amongst patients and associated medical conditions.

TYPE OF ANESTHESIA REQUIRED

Laparoscopic surgery requires general anesthesia which blocks pain and keeps you asleep throughout the entire surgery. Local anesthesia may be an option and can be discussed with our team.

RECOVERY PERIOD

Once you have undergone laparoscopic surgery, your recovery period is usually shortened when compared to conventional open surgery. Most patients usually go home the same day although every case is different. You will be given pain medication and a laxative to prevent constipations. Your activity may be limited to light lifting (no more than 20 lb) for one month.