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Related Concept Videos

Peritoneal Dialysis I: Introduction and Procedure01:30

Peritoneal Dialysis I: Introduction and Procedure

Peritoneal dialysis (PD) is a procedure that facilitates the exchange of solutes, waste products, electrolytes, and excess fluid between the blood in the peritoneal capillaries and a dialysis solution introduced into the peritoneal cavity.Principles of Peritoneal Dialysis (PD)Diffusion: Waste products such as urea and electrolytes move from high concentrations in the blood to low concentrations in the dialysate across the peritoneal membrane. This mechanism is driven by the concentration...
Peritoneal Dialysis III: Nursing Management01:25

Peritoneal Dialysis III: Nursing Management

Peritoneal dialysis, or PD, utilizes the peritoneal membrane as a filter to eliminate excess fluid and waste products. Effective nursing management is essential for ensuring patient safety, preventing complications, and promoting optimal function of the peritoneal dialysis process.Assessment and MonitoringNurses must thoroughly assess the patient before, during, and after each dialysis session. Regular monitoring includes vital signs, daily weight, fluid intake and output, and laboratory values...
Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications01:25

Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications

Peritoneal dialysis (PD) is a medical process that removes waste products and excess fluid from the body using the peritoneal membrane as a natural filter.Peritoneal Dialysis MethodsSeveral methods can be used for peritoneal dialysis, including Acute Intermittent Peritoneal Dialysis, Continuous Ambulatory Peritoneal Dialysis, and Automated Peritoneal Dialysis, also known as Continuous Cyclic Peritoneal Dialysis.Acute Intermittent Peritoneal Dialysis (AIPD) is used for patients with uremic...
Hemodialysis I: Introduction01:25

Hemodialysis I: Introduction

Hemodialysis (HD) is a medical treatment that artificially removes waste products, excess fluids, and toxins from the blood when the kidneys are no longer able to perform these functions effectively. In this process, blood is filtered through a semipermeable membrane, allowing for the selective removal of waste while preserving necessary components like blood cells and proteins. Hemodialysis is typically performed in patients with end-stage renal disease (ESRD) or severe kidney...
Hemodialysis II: Procedure and Complications01:24

Hemodialysis II: Procedure and Complications

DialyzersA hemodialysis (HD) dialyzer is a plastic cartridge containing thousands of parallel hollow fibers, which serve as semipermeable membranes. These fibers are typically made from cellulose-based or other synthetic materials. During HD, blood is pumped into the top of the cartridge and distributed among these fibers. Simultaneously, dialysis fluid, known as dialysate, is introduced into the bottom of the cartridge, bathing the outside of the fibers. Across the semipermeable membrane,...
Extracorporeal Removal of Drugs: Peritoneal Dialysis and Hemodialysis01:30

Extracorporeal Removal of Drugs: Peritoneal Dialysis and Hemodialysis

Patients with end-stage renal disease (ESRD) or those experiencing drug overdose often require extracorporeal methods to eliminate accumulated drugs and metabolites. Hemoperfusion, hemofiltration, and dialysis are the primary techniques to rapidly remove harmful substances without disrupting the patient's fluid and electrolyte balance. For those with compromised renal function, dosage adjustments of concurrent medications may be necessary during extracorporeal drug removal.Dialysis is a process...

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Measurement of ultraviolet radiation intensity in photochemical smog studies.

Environmental science & technology·2012
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Secondary embedding of peritoneal dialysis catheters.

Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis·2008
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Rescue and salvage procedures for mechanical and infectious complications of peritoneal dialysis.

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Fragmentation of polyurethane peritoneal dialysis catheter during explantation.

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Cost-effectiveness of peritoneal dialysis catheter implantation by laparoscopy versus by open dissection.

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Related Experiment Video

Updated: Jul 19, 2026

Laparoscopic-Assisted Seldinger Technique for Peritoneal Dialysis Catheter Insertion
06:23

Laparoscopic-Assisted Seldinger Technique for Peritoneal Dialysis Catheter Insertion

Published on: May 23, 2025

Selected best demonstrated practices in peritoneal dialysis access.

J H Crabtree1

  • 1Department of Surgery, Southern California Permanente Medical Group, Kaiser Permanente Bellflower Medical Center, Bellflower, CA 90706, USA. John.H.Crabree@kp.org

Kidney International. Supplement
|November 3, 2006
PubMed
Summary

Early placement and improved surgical techniques for peritoneal dialysis (PD) catheters can enhance patient satisfaction and treatment utilization. These advancements minimize complications and avoid temporary hemodialysis, improving the overall PD experience.

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A Retrograde Implantation Approach for Peritoneal Dialysis Catheter Placement in Mice
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Last Updated: Jul 19, 2026

Laparoscopic-Assisted Seldinger Technique for Peritoneal Dialysis Catheter Insertion
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Surgical Techniques for Catheter Placement and 5/6 Nephrectomy in Murine Models of Peritoneal Dialysis
07:11

Surgical Techniques for Catheter Placement and 5/6 Nephrectomy in Murine Models of Peritoneal Dialysis

Published on: July 19, 2018

Area of Science:

  • Nephrology
  • Surgical Innovation
  • Renal Replacement Therapy

Background:

  • Peritoneal dialysis (PD) is a vital renal replacement therapy.
  • Burdensome interventions and complications can hinder PD utilization and patient satisfaction.
  • Current methods often require temporary hemodialysis and have suboptimal catheter management.

Purpose of the Study:

  • To explore strategies for optimizing peritoneal dialysis access.
  • To reduce complications associated with PD catheter implantation and utilization.
  • To enhance patient commitment and satisfaction with peritoneal dialysis.

Main Methods:

  • Catheter embedding: subcutaneous burial of the external catheter limb until dialysis is needed.
  • Laparoscopic placement: enabling techniques like rectus sheath tunneling and omentopexy.
  • Flexible access devices: allowing varied exit site locations for patient convenience.
  • Customizable catheter systems: standard and extended 2-piece options for diverse body types.

Main Results:

  • Catheter embedding avoids temporary hemodialysis and streamlines operating room scheduling.
  • Laparoscopic techniques proactively prevent common complications such as migration and obstruction.
  • Flexible exit site options improve patient management and comfort.
  • Optimized catheter placement ensures efficacy without compromising deep pelvic positioning.

Conclusions:

  • Early peritoneal access placement with embedded catheters and advanced implantation techniques significantly improves PD utilization and patient satisfaction.
  • Minimizing catheter maintenance until dialysis initiation encourages earlier patient commitment.
  • Laparoscopic placement and flexible access devices offer a proactive approach to preventing complications and enhancing the PD experience.