Time between peritoneal dialysis catheter insertion and use

Successful performance of peritoneal dialysis (PD) is predicated upon the presence of a properly functioning catheter. Several techniques are available for placing PD catheters among which peritoneoscopic and laparoscopic techniques are gaining broader acceptance. Once placed, PD catheters may be used immediately with low dialysate volumes and a dry day. Alternatively, utilizing what is now referred to as the Moncrief-Popovich technique, they may be embedded subcutaneously for later use. Embedding PD catheters following implantation is an attractive option with multiple potential advantages. Such advantages may encourage wider use of the Moncrief-Popovich technique in PD units Observational studies indicate that the duration of catheter embedment between implantation and externalization does not appear to affect catheter survival. Larger studies are still awaited to further explore the optimum duration of embedment.