Peritoneal Lavage: Insertion of a Peritoneal Dialysis Catheter



Peritoneal Lavage: Insertion of a Peritoneal Dialysis Catheter










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Diagnostic Peritoneal Lavage: Choice of Site (Fig. 39.1)


Technical Points

Note any scars from prior abdominal surgery. Because intraperitoneal adhesions form most densely on the underside of old scars, avoid such areas. In the absence of old scars or pelvic fractures, the preferred site is the lower midline, about 4 to 5 cm below the umbilicus. Alternative sites include the upper midline (for patients with pelvic fractures) and right lower quadrant. Ensure that the patient’s bladder is empty by having the conscious, cooperative patient void or by placing an indwelling Foley catheter. Shave, prepare, and infiltrate the area of the proposed skin incision. The use of lidocaine with epinephrine minimizes bleeding into the incision and may decrease the chance of a false-positive result. Careful hemostasis throughout the procedure is important.






Figure 39-1 Diagnostic Peritoneal Lavage: Choice of Site

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Jul 22, 2016 | Posted by in GENERAL SURGERY | Comments Off on Peritoneal Lavage: Insertion of a Peritoneal Dialysis Catheter

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