In order to carry out the procedure of peritoneal dialysis (PD) the PD catheter needs to be inserted into the chest, abdomen, or sternum region. The surgeon will work with you to determine the best location.
A PD catheter can be described as a flexible tube made of plastic (about the size of a ruler, and the length of pencils) that permits dialysis solution (called dialysate) to pass through into the abdomen cavity. It will draw away toxins from the blood vessels inside the lining of organs and the abdomen and take the dialysate used up out. The inside of the PD catheter begins at the exit point and ends within the pelvic area. This is to ensure that all the fluid that goes into the abdominal cavity is empty when it is the catheter is empty. The tiny hole in which the catheter exits inside the abdomen can be referred to as the exit location.
PD Catheter surgery can be thought of as an operation that is minor for the majority of patients, and complications are typically uncommon. The procedure can be performed under general anesthesia, and typically requires less than one hour. The majority of people can return home the next day. Surgery is usually performed by a surgeon who is located in an institution, however, there are kidney specialists (nephrologists) or radiologists that are qualified to put in PD catheters.
It is generally suggested to get the catheter inserted within two weeks of the onset of PD. There is an alternative to burying a PD catheter that could be discussed with your surgeon and nephrologist. This permits the earlier placing of the PD catheter ahead of use. In some instances, PD may start a couple of days after surgery. It’s crucial to speak in person with the PD nurse to determine your surgery and follow-up visit.
What can you expect to see after the PD catheter is inserted?
When the catheter is inserted first, the main goal is to keep the site of exit clean and stop the catheter pulls against the site of exit.
- You’ll be back home wearing the PD catheter secured to the abdomens outside as well as covered by a sterilized pad or dressing. The dressing should be left in place and must only be altered or removed with the help of a qualified PD nurse. It’s essential to keep the dressing dry. This means that there are no baths or showers for 7 to 10 days.
- In the seven- to 10-day period following surgery, you might experience some discomfort. Avoid lifting heavy weights and doing exercises such as sit-ups and squats during this period. The majority of people are able to get back to their normal activities after three or four days.
- The patient will visit the dialysis facility for 7 to 10 days following surgery to meet with the PD nurse. She will alter the dressing, wash the site of exit and evaluate the PD catheter’s performance. The nurse and medical team begin the first PD training to be taught how to do PD in your home.
Caring for your PD catheter
The precautions to take are to guard against infection since the catheter as well as the skin that surrounds it could be the entry points where germs could enter the body. Find out more information about how you can take care of your PD catheter here.
The PD catheter, if placed correctly and maintained should not interfere with routine activities, and may be used in a safe manner for a long time. Talk to your doctor and the care team about the procedure of placing the catheter and find out whether PD is the best option for you.