Author/Editor		Janež, Jurij
Title		A surgical techniques for providing peritoneal dialysis access at the University Medical Center Ljubljana
Type		članek
Vol. and No.		Letnik 1, št. 1
Publication year		2019
Volume		str. 27-30
ISSN		2591-2275
Language		eng
Abstract		Background. Dialysis is becoming more common as the number of patients with end-stage renal disease increases. Two main modalities of dialysis are hemodialysis and peritoneal dialysis. Continuous ambulatory peritoneal dialysis has been used as a major renal replacement therapy since the early 1980s. Methods. This article presents a brief review of current peritoneal dialysis catheter placement techniques, such as the open surgical technique, peritoneoscopic technique, blind percutaneous technique, and laparoscopic technique. Peritoneal dialysis has several advantages over hemodialysis, such as increased patient mobility, fewer dietary restrictions, improved preservation of residual kidney function, and no required systemic anticoagulation. An important aspect for successful peritoneal dialysis is to provide quality peritoneal dialysis access. Conclusion. At our institution, laparoscopic insertion of a peritoneal dialysis catheter has become a standard method for providing peritoneal dialysis access in adults.
Keywords		end-stage renal disease peritoneal dialysis peritoneal dialysis catheter insertion laparoscopy abdominal surgery