I have a 56 y patient on HD since 7 monthes , SLE , DM AND she is egar to shift to PD but she has 3 cesarean sections ( last one 17 y ago ) . can we proceed for PD cathter insertion or bitter to avoid because of possiblity of presence of intrabdominal adhesions ? and IF yes any advise before or after cathter insertion thanks
I have a 56 y patient on HD since 7 monthes , SLE , DM AND she is egar to shift to PD but she has 3 cesarean sections ( last one 17 y ago ) . can we proceed for PD cathter insertion or bitter to avoid because of possiblity of presence of intrabdominal adhesions ? and IF yes any advise before or after cathter insertion thanks
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Questions About PD

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basem K, Doctor/MD from Riyadh , Saudi Arabia asked
I have a 56 y patient on HD since 7 monthes , SLE , DM AND she is egar to shift to PD but she has 3 cesarean sections ( last one 17 y ago ) . can we proceed for PD cathter insertion or bitter to avoid because of possiblity of presence of intrabdominal adhesions ? and IF yes any advise before or after cathter insertion thanks

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⋅ Eric Goffin, MD, Belgium ⋅ October 5, 2021

I would recommend a surgical approach (open or laparoscopic) with the possibility for the surgeon to perform adhesiolyis if necessary

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