Gynecological Surgery: Not a Contraindication for Continuation of CAPD

Abstract

Toxic shock syndrome (TSS) is an illness defined by the occurrence of fever, rash, hypotension, multiple organ system dysfunction, and desquamation. Nonmenstrual TSS is often associated with surgical or nonsurgical cutaneous infections, which are rarely purulent or inflamed (Reingold AL, et al. Nonmenstrual toxic shock syndrome: a review of 130 cases. Ann Intern Med 1982; 96:871-4). Toxic shock syndrome associated with peritoneal exit-site infection but without peritonitis is extremely unusual (Sherbotie JR, et al. Toxic shock syndrome with Staphylococcus aureus exit-site infection in a patient on peritoneal dialysis. Am J Kidney Dis 1990; 15:80-3). We describe 2 patients that met the Centers for Disease Control case definition of TSS secondary to a peritoneal dialysis catheter exit-site infection with signs of mild inflammation and growth of Staphylococcus aureus, but with no evidence of peritonitis.

Pleuroperitoneal Communication and Ovarian Cancer Complicating Peritoneal Dialysis: A Case Report of a Patient with End-Stage Kidney Disease

“…All patients were shifted to HD in the immediate postoperative period, and PD was successfully restarted after 2 to 4 weeks. 31 Although the optimum regimens for interrupting and resuming PD in this population remains to be standardized, our experiences, which are not very different from the previous clinical practice patterns, 8,31 obviously support the opinion that comorbidities in patients on PD necessitating surgical interventions do not necessarily constitute a contraindication of PD. However, whether or not the complementary use of HD and PD with peritoneal resting, 32 which might have reduced the tractive burdens on the operative wounds in the current patient, improves the feasibility and safety of postoperative PD resumption in the ordinary clinical setting remains unknown.…”

Endometrioma Presented as Acute Abdomen in a Peritoneal Dialysis Patient: A Case Report and Literature Review

“…The reported time for PD resumption ranged from 1 day up to 4 weeks post-operatively, depending on the type of surgery. 12 , 16 , 18 , 22 During PD, there will be increased intra-abdominal pressure with peritoneal dialysate infusion. Thus, postoperative leakage of dialysate through the wounds is a concern.…”

Successful Reinstitution of Peritoneal Dialysis after Gastric Resection: A Case Report

“…A history of major abdominal surgery is considered a relative contraindication for the introduction of peritoneal dialysis (PD) (1); however, there is no consensus on whether or not PD can be continued after patients undergoing PD receive abdominal surgery. Indeed, there are only a few reports of such patients (1-3). We describe here a patient who successfully reinstituted PD after total gastric resection with omentectomy during the course of chronic PD.…”