Surgical Techniques

In the case of chronic renal failure, a soft catheter providing a lower risk of erosion to visceral organs is preferred. Besides the type of the catheter, the placement technique influences the longevity of the catheter, hospital stay, and infection rates. These "complications" will be discussed later in this chapter. There are four common methods of implantation:

1. Dissecting technique (open surgery)

2. Blind puncture

3. Peritoneoscopy-assisted percutaneous method

4. Laparoscopy-assisted techniques

Peritoneoscopic placement varies from laparoscopic techniques, which will be elaborated on below because it employs a much smaller scope and puncture size, only one peritoneal puncture site, a device to advance the cuff into the musculature, air in the peritoneum rather than CO2, and local anesthesia rather than general anesthesia.

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