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Peritoneal Dialysis Catheter Placement with Peritoneoscopic Technique and Successful Initiation of Peritoneal Dialysis in a Patient with Diastasis Recti
Author(s) -
Abdelsalam Mohamed Said,
Althaf Mohammed Mahdi,
Albaqumi Mamdouh Nasser,
Alfurayh Osman,
Korbi Lutfi,
Haq Naveed Ul
Publication year - 2013
Publication title -
seminars in dialysis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.899
H-Index - 78
eISSN - 1525-139X
pISSN - 0894-0959
DOI - 10.1111/sdi.12139
Subject(s) - medicine , peritoneal dialysis , surgery , catheter , abdominal wall , diastasis , dialysis
Preserved anatomical integrity of the anterior abdominal wall is considered important in the presurgical evaluation of a patient who is being considered for placement of a peritoneal dialysis (PD) catheter. Diastasis recti abdominis (DRA) is the excessive widening or separation between the two bellies of the rectus abdominis muscle. The separation can occur anywhere along the linea alba and at times has been found to span the entire length from the xiphosternal angle to the pubic bone. Presence of DRA can pose a surgical challenge in the peritoneoscopic placement of peritoneal dialysis catheter. In this report, we discuss a case of successful placement of peritoneal dialysis catheter with peritoneoscope technique and successful initiation of peritoneal dialysis in a chronic kidney disease patient with DRA.