A chronic peritoneal dialysis is an option for many patients with the end-stage renal disease.
Indications for peritoneal dialysis include the following:
• Vascular access failure
• Intolerance to hemodialysis
• Congestive heart failure
• Prosthetic valvular disease
• Children aged 0-5 years
• Patient preference
• Distance from a hemodialysis centre
• Poor cardiac function
• Peripheral vascular disease
Peritoneal dialysis has several advantages over hemodialysis including quality of life due to its ability to provide better patient mobility and independence.
Placement of PD catheters with a guide wire and peel-away sheath is performed using a Seldinger technique. The procedure is performed under local anaesthesia with prophylactic antibiotics