CAPD Catheter Insertion
Continuous ambulatory peritoneal dialysis (CAPD) is a modality of renal replacement therapy in patients with chronic kidney disease stage 5. It has the advantage of being a home-based therapy and is a preferred option in patients with inadequate access to haemodialysis and transplantation facilities and in those infected with HIV and other blood-borne viruses. While open surgical CAPD catheter placement has been the conventional mainstay of access placement, percutaneous techniques are being used increasingly with similar success rates. There will be considerable decrease in hospital stay and surgical costs.
The operation is carried out under the general anaesthesia. There are two different operations for inserting the catheter.
- Laproscopic insertion: 3-4 small cuts will be made into your abdomen each about 7-12mm in length. The surgeon will then use a laproscopic camera to look into your abdomen. The PD catheter is then used into your abdominal cavity.
- Mini Laparotomy: A small cut will be made of about 4-6cm below your Belly button. The surgeon will insert the PD catheter into your abdominal cavity through this opening.
PIn both the operations, fluid is flushed in and out of your abdomen to make sure the catheter is working. Dressings are then placed over the operation sites and where the tube comes out of your body. Both operations take about half an hour, with further 2 hours in recovery unit.