Percutaneous peritoneal dialysis access procedures (PPAP) are commonly employed for peritoneal dialysis (PD) catheter placement in patients with end-stage renal disease (ESRD). However, traditional techniques such as the blind Seldinger method can lead to complications, particularly bowel perforation and catheter malposition. We report a safe and effective technique for PD catheter placement utilized in a 73-year-old male with ESRD. This novel approach involves lifting the abdominal wall and directly visualizing the puncture site with ultrasound, thereby minimizing the risk of bowel injury. Additionally, the combined use of transversus abdominis plane (TAP) and rectus sheath (RS) block provides effective postoperative analgesia. This technique is particularly beneficial in resource-limited settings, offering a safer, adaptable, and analgesia-optimized alternative for PD catheter placement.
Doita et al. (Fri,) studied this question.