ABSTRACT
Patient desire, including lifestyle, profession, age, body habitus Patient restriction to learn technique, i.e., impaired vision, advanced age, lack of
manual dexterity Distance to hemodialysis unit Socioeconomic factors PD training facility availability Previous abdominal surgery with adhesions Recent or recurrent abdominal infections, i.e., diverticulitis Overweight, hygiene issues Heparin intolerance Inability to establish vascular access
Fig. 6.1. The author prefers the paraumbilical transrectus muscle approach (level guided by patient size and catheter length). The catheter my be exteriorized at the time of placement (A) or buried subcutaneously (Moncrief method), to be externalized 4-5 weeks later (B).
