A leak-free technique for open insertion of peritoneal dialysis catheters

A technique for open insertion of acute peritoneal dialysis catheters without excessive postoperative leakage of dialysate fluid is described. By using the laparotomy incision only for exploration to guide catheter placement by counter puncture, one can obtain a much more accurate and water-tight closure of the lineal alba than is possible when the catheter exists through the incision.