Peritoneal Dialysis Access
Also covered as: severe acute kidney injury · congenital heart disease · bladder outlet obstruction · chronic kidney disease · posterior urethral valves · inguinal hernia · oligohydramnios · anuria
Educational content from recorded physician discussions — not medical advice. Always talk to your child's care team about your child's situation.
Answers come only from this collection's statement ledger and cite the exact moment · not medical advice
Content of this collection
Medical Management
2 items
Managing Advanced Chronic Kidney Disease: Cincinnati Fetal Center
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Dr. Foong-Yen Lim introduces the session topics of discussion, the challenges of neonatal dialysis, the pathway of renal transplantation, and pulmonary survivor qualifications. Dr. Paul Kingma, Neonatal Director, Cincinnati Fetal Center, di
video · 35:10 · Nov 2018
Fetal management of advanced chronic kidney disease: Fetal Genitourinary...
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Dr. Foong-Yen Lim introduces the challenges of neonatal dialysis, the pathway of renal transplantation, and pulmonary survivor qualifications. Dr. Paul Kingma discusses the pulmonary survivor odds based upon amniotic fluid status and postna
video · 34:05 · Jan 2019
Surgical Management
2 items
Renal transplantation: Cincinnati Fetal Center
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Dr. Maria Alonso, Intestinal Transplant Surgeon, presents on renal transplantations. She discusses general surgical needs, gastrostomy tube, peritoneal dialysis catheter, hemodialysis catheter, extra peritoneal approach, extra vesicle re im
video · 13:51 · Nov 2018
Renal transplantation: Fetal Genitourinary Disease 2015
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Dr. Maria Alonso, Intestinal Transplant Surgeon, presents on renal transplantations. She discusses general surgical needs, gastrostomy tube, peritoneal dialysis catheter, hemodialysis catheter, extra peritoneal approach, extra vesicle re-im
video · 13:44 · Jan 2019
Evidence & Research
7 items
Early Peritoneal Dialysis and Postoperative Outcomes in Infants After Pediatric Cardiac Surgery
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New article you should know by Dr. Alex Halpern
"Early Peritoneal Dialysis and Postoperative Outcomes in Infants After Pediatric Cardiac Surgery: A Systematic Review and Meta-Analysis"
Authors: Siva P Namachivayam, Suvikrom Law, Johnn
video · 0:47 · Sep 2023
Quick Literature Updates Episode 13
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We’re back with thirteenth episode of "Quick Literature Updates" the podcast series that delivers the latest updates in pediatric surgery literature in a quick and digestible format. In each episode, we review articles covering the most int
video · 4:12 · Nov 2023
Surgeon annual volume impacts recurrence rates of pediatric inguinal hernia repairs: A multi-institutional study
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Kathleen Heller, Brielle V Ochoa, Stephanie F Brierley, Benjamin E Padilla; Pediatric Inguinal Hernia Collaborative Group; Amir Alhajjat, Emily Byrd, Stephanie D Chao, Christopher Clinker, Jose Diaz-Miron, Goeto Dantes, R Scott Eldredge, El
video · 0:54 · Feb 2026
Practice Patterns and Outcomes of Hemodialysis in Infants Undergoing Congenital Heart Surgery in th
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Grant Chappell, Darren Turner, Amir Mehdizadeh-Shrifi, David Lehenbauer, Marco Ricci, Meghan M Chlebowski, Stuart L Goldstein, Awais Ashfaq, David L S Morales
Hemodialysis after infant congenital heart surgery (CHS) for acute kidney injury
video · 0:53 · May 2026
Practice Patterns and Outcomes of Hemodialysis in Infants Undergoing Congenital Heart Surgery in the
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This video highlights a recent PubMed article on hemodialysis outcomes in infants following congenital heart surgery (CHS). It reveals that approximately 1% of infants undergoing CHS develop severe acute kidney injury requiring dialysis, wi
video · 0:53 · Jun 2026
Practice Patterns and Outcomes of Hemodialysis in Infants Undergoing Congenital Heart Surgery in the
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This video discusses a PubMed article on dialysis outcomes for infants undergoing congenital heart surgery. It highlights that about 1% of these infants develop severe acute kidney injury requiring dialysis, with a one-year survival rate of
video · 0:53 · Jun 2026
Practice Patterns and Outcomes of Hemodialysis in Infants Undergoing Congenital Heart Surgery...
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Lizzy Lee from Cincinnati Children's discusses a study on hemodialysis outcomes in infants after congenital heart surgery (CHS). Approximately 1% of infants undergoing CHS develop severe acute kidney injury (AKI) requiring dialysis, with a
video · 0:53 · Jun 2026
In-Depth Reviews
1 item
PDC 2020 Practice Gaps
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This clip from the 2020 Pediatric Surgery Update Course features Elizabeth Beierle, MD, Erik Skarsgard, MD, and Robert Cusick, MD presenting 2020’s practice gaps as identified by the American Pediatric Surgical Association’s (APSA) Professi
video · 83:26 · Sep 2020
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Every statement below comes from the recorded discussions, with its speaker and moment.
Surgeon annual volume impacts recurrence rates of pediatric inguinal hernia repairs: A multi-institutional study
Heller et al. published a multi-institutional study in the Journal of Pediatric Surgery in 2025
epidemiologicalJill Knepprath0:10 ↗
Inguinal hernias repaired by lower volume surgeons had a 1.5 fold increase in the odds of recurrence
epidemiologicalJill Knepprath0:22 ↗
There was no difference in recurrence rates for open repairs based on surgeon volume
epidemiologicalJill Knepprath0:30 ↗
Laparoscopic repairs done by lower volume surgeons had a 3.3 fold increase in the odds of recurrence
epidemiologicalJill Knepprath0:35 ↗
The authors recommend maintaining a high volume of laparoscopic repairs, and if that's not possible, to seek help from a higher volume surgeon
guidelineJill Knepprath0:44 ↗
Renal transplantation: Fetal Genitourinary Disease 2015
Babies that make urine are not likely to need peritoneal dialysis for a little while, but are likely to need it in the future
clinicalAlonso0:25 ↗
Peritoneal dialysis catheters should be left alone for a couple of weeks if at all possible after placement
clinicalAlonso0:45 ↗
Gastrostomy tube placement is focused along the lesser curvature to preserve the stomach for potential future bladder augmentation
clinicalAlonso0:54 ↗
Hemodialysis catheters need to be fairly large caliber and are preferentially placed in the right internal jugular site because it is a straight shot into the atrium
clinicalAlonso2:11 ↗
Inguinal and umbilical hernias can develop when babies are on peritoneal dialysis
clinicalAlonso2:56 ↗
Hernias are left alone if they are not affecting the mechanics of dialysis and are not particularly symptomatic
clinicalAlonso2:56 ↗
The ideal weight for transplantation is around 10 kg if babies are not on peritoneal dialysis
clinicalAlonso4:01 ↗
Babies on peritoneal dialysis have a more accommodating abdominal cavity and laxity in the abdominal wall, allowing transplantation closer to 8 kg
clinicalAlonso4:01 ↗
All infant recipients have been transplanted with adult donors
clinicalAlonso4:17 ↗
An extraperitoneal approach is used for infant renal transplantation with an incision extending to the upper edge close to the costal margin
clinicalAlonso4:32 ↗
The biggest complication from a general surgical perspective are wound complications as opposed to vascular complications
clinicalAlonso4:59 ↗
Some patients can only be closed at skin level and develop leaks or dehiscence requiring biologic mesh such as derma matrix for closure
clinicalAlonso5:08 ↗
In a 13-year follow-up of G tubes in babies, they all migrate up onto the chest
clinical7:14 ↗
Insufficient space between the G tube site and PD catheter site can lead to infection problems early on when drainage gets underneath the PD catheter dressing
clinicalAlonso7:47 ↗
The standard insertion site for gastrostomy tubes is 2 finger breadths below the costal margin
clinicalAlonso8:24 ↗
Gastrostomy tube location must be placed high on the stomach towards the lesser curvature to allow use of a gastric segment for gastric augmentation later in life
clinicalAlonzo8:46 ↗
Some babies with posterior urethral valves will need urinary diversion with a vesicostomy placed about 1-2 finger breadths below the umbilicus
clinicalAlonzo9:06 ↗
PD catheters can be placed to allow immediate use with lower volumes, though waiting for healing is preferable
clinicalAlonso11:20 ↗
Many babies with bladder outlet obstruction have small stomachs, possibly related to minimum amniotic fluid during development
clinical11:43 ↗
Early Peritoneal Dialysis and Postoperative Outcomes in Infants After Pediatric Cardiac Surgery
Dr. Dudike and his team performed a systematic review and meta-analysis on early peritoneal dialysis after pediatric cardiac surgery
clinicalAlex Halpern0:14 ↗
Five studies were included in the meta-analysis
clinicalAlex Halpern0:19 ↗
Early initiation of peritoneal dialysis was associated with decreased postoperative mortality
clinicalAlex Halpern0:24 ↗
Early initiation of peritoneal dialysis shortened duration of mechanical ventilation
clinicalAlex Halpern0:30 ↗
Early initiation of peritoneal dialysis shortened length of stay in the ICU
clinicalAlex Halpern0:30 ↗
Early initiation of peritoneal dialysis may benefit infants after pediatric cardiac surgery
opinionAlex Halpern0:30 ↗