The usage of guidewire or stylet in successful peritoneal dialysis catheter exchange without fluoroscopy or peritoneoscope use - The Serdang Method

Abstract

Mechanical malfunction of peritoneal dialysis (PD) catheters remains the most common non-infective complication of peritoneal dialysis. Failure in conservative measures often results in surgical correction, which is often invasive, time-consuming and may require the patient to temporarily switch to haemodialysis while waiting for post-operative recovery and wound healing. This article describes two methods of PD catheter exchange that are minimally invasive, time- and cost-efficient; and most importantly, successful.