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October 1966

Clinical Peritoneal Dialysis

Author Affiliations

From the Department of Surgery, St. John's Hospital, Tulsa.

Arch Surg. 1966;93(4):643-653. doi:10.1001/archsurg.1966.01330040107020

THE MODERN technique of intermittent peritoneal dialysis was described and popularized by Maxwell et al.1 It is a modification of the method described by Grollman.2,3 The commercially available plastic catheters and standardized sterile dialysis solutions make the procedure relatively simple, effective, and safe. Despite its initial use in treatment of uremia in man in 1923,4 widespread popularity of peritoneal dialysis did not occur until 1959.1 Complications such as peritonitis, leakage of dialysis solution, incomplete fluid return, shock, overhydration, and inadequate dialysis are now seldom encountered.

The basis for this communication is a review of more than 130 peritoneal dialysis procedures done by the author since 1961. Indications and selected clinical examples will be presented to emphasize the value, efficiency, and safety of the method.

In our experience, the Kolff twin-coil artificial kidney has proved to be rather cumbersome. It has been used sparingly in the past

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