Abstract
Successful peritoneal dialysis requires a well-functioning catheter that can be used long-term. For the practitioner, there are many choices that must be made regarding catheter placement, including catheter design and mode of insertion. In 1993, Moncrief and Popovich described a new variation of catheter placement. Instead of immediately externalizing a peritoneal catheter, the distal end was embedded in the subcutaneous fat while the catheter was allowed to heal. The distal end was exteriorized at a later point and peritoneal dialysis was begun. The technique is described in this chapter and the outcomes, advantages and disadvantages are reviewed. Advantages include allowing providers and patients to prepare for peritoneal dialysis likely increasing utilization of peritoneal dialysis. In addition, this technique significantly reduces the probability of dialysate leaks and allows full-dose dialysis to be performed immediately after externalization. Although there are few controlled trials comparing the Moncrief-Popovich technique to standard catheter placement, data does suggest that this is an effective procedure that is associated with few complications.
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Furgeson, S.B., Teitelbaum, I. (2017). Buried Catheters: How and Why?. In: Haggerty, S. (eds) Surgical Aspects of Peritoneal Dialysis. Springer, Cham. https://doi.org/10.1007/978-3-319-52821-2_10
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DOI: https://doi.org/10.1007/978-3-319-52821-2_10
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