Dr. Atwa and our laparoscopic surgical team are experts at placing PD Catheters. Laparoscopic placement of a peritoneal dialysis catheter has been shown to provide many advantages: Minimal incision, less surgical trauma; the procedure hastens the early start of peritoneal dialysis and has no complications* (NDT Plus. 2008 Oct; 1(Suppl 4): iv23–iv28.doi: 10.1093/ndtplus/sfn120)
What is the Placement Procedure for a Peritoneal Dialysis Catheter?
To begin, you will be given local anesthesia to numb the area on your abdomen where the catheter will be placed. Next, one of our surgeons will make a small incision into your abdomen. The catheter and its two cuffs are then inserted through the incision into the area below your skin, just above the peritoneal space.
Most of the catheter and the two cuffs remain under the skin while the tip is advanced through the peritoneal membrane into the peritoneal space. The cuffs help to keep the catheter from shifting and act as a barrier to any infectious organism.
At the end of the procedure, the external portion of the catheter is sutured in place and a sterile dressing is applied.
After a PD Catheter Placement
After the procedure, you are able to return home the same day. The dressing on the catheter should remain dry and intact until otherwise instructed your dialysis care team.
You may be prescribed medication for pain. A PD catheter requires about two to four weeks healing before it is ready for use.