Creating and maintaining optimal peritoneal dialysis access — ISPD 2019 recommendations

Following the 2016 and 2017 update of the ISPD guidelines on infectious complications of peritoneal dialysis, new guidelines were published in 2019 on how to create and maintain optimal peritoneal access. This document highlights the benefits of laparoscopic catheter implantation and the possibility of additional interventions such as omentopexy or adhesion release. It also discusses the most common complications regarding catheter function and how to manage them. Each peritoneal dialysis center should monitor and analyze the functioning of the peritoneal access, which contributes to improving the care of the peritoneal dialysis patient.