EARLY COMPLICATIONS OF CONTINUOUS PERITONEAL DIALYSIS: COMPARISON OF ENDOSCOPIC MONCRIEF-POPOVICH TECHNIQUE TO CONVENTIONAL BLIND TROCAR TECHNIQUE

Abstract

Peritonitis and other complications of CAPD considerably affect the outcome of the treatment. Different insertion techniques were developed for reducing the rate of complications. Preserving the catheter from trauma inside a sterile subcutaneous pouch, the Moncrief-Popovich insertion technique, markedly decreased the incidence of peritonitis. Endoscopic placement of the catheter prevents unnecessary repetitions of the procedure and provides better wound healing. We combined'the Moncrief-Popovich insertion' technique with endoscopic visualization and compared it with the conventional blind trocar technique on early CAPD complications in 22 patients who were followed for a mean of 83 patient months.