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Updated: May 28, 2026
06:23
Laparoscopic-Assisted Seldinger Technique for Peritoneal Dialysis Catheter Insertion
Published on: May 23, 2025
Does previous abdominal operation affect peritoneal dialysis complications and outcomes?
Piyatida Chuengsaman1, Apichat Panomrerngsak, Kanda Sriudom
1CAPD Service and Training Center, Prommitr Branch, Banphaeo Hospital (Public Organization), Bangkok, Thailand. pjeungsmarn@yahoo.com
Summary
Previous abdominal surgery does not contraindicate peritoneal dialysis (PD) for end-stage renal disease (ESRD) patients. Outcomes and complications were similar between PD patients with and without prior abdominal operations.
Area of Science:
- Nephrology
- Surgical Procedures
- Public Health Policy
Background:
- Peritoneal dialysis (PD) is a key treatment for end-stage renal disease (ESRD).
- Thailand's universal healthcare covers PD, with ~10,000 patients, often of lower socioeconomic status.
- Historically, prior abdominal surgery was a contraindication for PD.
Purpose of the Study:
- To compare complications and outcomes of PD between ESRD patients with and without previous abdominal operations.
- To evaluate the safety and efficacy of PD following abdominal surgery.
Main Methods:
- Retrospective review of new PD cases undergoing mini-laparotomy catheter implantation.
- Comparison of bleeding, infection, catheter issues, and survival rates between groups.
- Data collected on first PD catheter implantation outcomes.
Main Results:
- 14.5% of 730 ESRD patients had prior abdominal operations.
- No significant differences in bleeding, exit site/wound infection, or catheter malposition/obstruction.
- Catheter, technique, and patient survival rates were comparable between groups.
Conclusions:
- Previous abdominal surgery is not a contraindication for PD in ESRD patients.
- PD offers low complications and excellent outcomes irrespective of prior abdominal surgery.
- A dedicated catheter implantation team may contribute to successful PD outcomes.
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