Management of pericannular bleeding after peritoneal dialysis catheter placement

“Pericannular bleeding is a common acute complication developed within 1 month after peritoneal dialysis (PD) catheter insertion, especially in patients subjected to long subcutaneous tunneling. We designed a protocol for the management of acute postoperative pericannular bleeding.
Acute pericannular bleeding is defined as the need to change the dressing more than twice daily within 2 weeks of the operation.”

“Postoperative acute pericannular bleeding is usually regarded as a self-limiting condition, and it is seldom recorded. Pericannular bleeding leading to hematoma formation increases the risk of catheter-related infection and may compromise catheter survival. Although our
strategies are effective in stopping bleeding, they still have potential risks for catheter injury and pericatheter infection. Standard skin sterilization and meticulous injection techniques are important.”

Li, J R et al. “Management of pericannular bleeding after peritoneal dialysis catheter placement.Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis vol. 32,3 (2012): 361-2. Free Full Text

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