Grundlagen der Peritonealdialyse

Translated title of the contribution: Basic principles of peritoneal dialysis

C. Geppert, M. K. Widmer, R. Saxena, M. Gallieni

Research output: Contribution to journalArticle

Abstract

Background: In addition to hemodialysis and renal transplantation, peritoneal dialysis (PD) is an alternative renal replacement therapy that should receive more attention in Europe. Aim of the work: A vascular surgeon should be familiar with this method as an alternative to hemodialysis. Method: This article gives a review of the techniques available for peritoneal dialysis. Results: Peritoneal dialysis can be performed manually or automatically, continuously or intermittently, during the day or even at night using diffusion, convection and ultrafiltration to exchange renal toxins by administration of solutions containing different concentrations of dextrose. Catheter implantation includes open, laparoscopic or a combination of both techniques, besides the interventional guided placement with their respective advantages and disadvantages. Different catheters ranging from the classical Tenckhoff® model to self-locating models with tungsten are available. Catheter dislocation and infections are the main complications of peritoneal dialysis. Conclusions: The mortality and morbidity associated with peritoneal dialysis is similar to that of hemodialysis. The patients benefit from this method as the continuous dialysis offers more comfort and a greater freedom of movement.

Translated title of the contributionBasic principles of peritoneal dialysis
Original languageGerman
Pages (from-to)564-570
Number of pages7
JournalGefasschirurgie
Volume20
Issue number8
DOIs
StatePublished - Dec 1 2015

Keywords

  • Catheter implantation
  • Catheter models
  • Dialysates
  • Peritoneal dialysis
  • Renal replacement therapy

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

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  • Cite this

    Geppert, C., Widmer, M. K., Saxena, R., & Gallieni, M. (2015). Grundlagen der Peritonealdialyse. Gefasschirurgie, 20(8), 564-570. https://doi.org/10.1007/s00772-015-0093-7