There are relatively few contraindications to the placement of peritoneal dialysis catheters. The most important consideration is whether or not the abdominal cavity has previously been violated. Previous pelvic surgery that may lead to adhesions, colostomy, ileostomy, or urinary diversion would be a relative contraindication. Absolute contraindications include aortic vascular graft within three months, presence of ventriculoperitoneal shunt, ascites, and peritonitis. Previous retroperitoneal/ extraperitoneal surgical procedures such as hysterectomy, caesarean section, and nephrectomy (retroperitoneally) are not considered contraindications.
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