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Table 12 Advantages and disadvantages of the SMAP method

From: Peritoneal Dialysis Guidelines 2019 Part 1 (Position paper of the Japanese Society for Dialysis Therapy)

Advantages

Disadvantages

1. Planned initiation of peritoneal dialysis (PD) can be conducted

2. Catheter management is not necessary as the catheter is embedded

3. Catheter type is not selected

4. Catheter implantation and embedding is safe and straightforward

5. Long-term catheter embedding is possible

6. Comprehensive patient education can be planned

7. PD can be started at a suitable period

8. PD can be rapidly commenced

9. Sufficient dialysis dose can be obtained in a short period of time

10. No risk of dialysis fluid leakage

11. Catheter infection is minimal

12. Hospitalization duration is short

1. Intra-abdominal information cannot be obtained until after the catheter is embedded

2. Two surgeries are necessary

3. Wound management after embedding and exit-site formation is necessary at home

4. It can be challenging to achieve the 1st class physically disabled classification after implantation

  1. SMAP Stepwise initiation of PD using the Moncrief and Popovich technique