Abstract
The history of peritoneal dialysis began in 1922 with Putnam’s publication of his work demonstrating that the peritoneum could be used as a dialysing membrane1. The first description of insertion of a chronic indwelling catheter for peritoneal dialysis was in 1968 by Tenckhoff2. Since that time, the surgical techniques used to place peritoneal dialysis catheters have undergone significant evolution3. Despite this evolution, placing and maintaining catheters for peritoneal dialysis remains a significant challenge, particularly in children. The challenge of pediatric peritoneal dialysis access is fitting a limited number of sizes of peritoneal dialysis catheters to children who come in a vast array of sizes. In addition, children have different abdominal proportions, less abdominal wall musculature and less subcutaneous fat than adults, factors which also make the procedure more complex. This surgical challenge is reflected in the high overall complication rates for children, which approaches 70% in some series4. Successful peritoneal dialysis access in children requires an understanding of these complications, which is the first step in improving outcomes.
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Brandt, M.L., Brewer, E.D. (2004). Peritoneal dialysis access in children. In: Warady, B.A., Schaefer, F.S., Fine, R.N., Alexander, S.R. (eds) Pediatric Dialysis. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-1031-3_6
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DOI: https://doi.org/10.1007/978-94-007-1031-3_6
Publisher Name: Springer, Dordrecht
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