Bulletin de la Dialyse à Domicile · Published 2026-06-14 · DOI 10.25796/bdd.v9i2.87107
Sarra Hadded, Hanene Gaied, Asma Bettaieb, Meriam Khadhar, Raja Aoudia, Mouna Jerbi, Rim Goucha
Peritoneal dialysis (PD) is an effective alternative to hemodialysis for patients with end-stage renal disease. However, its success depends on proper peritoneal catheter function, and mechanical complications remain a major cause of technique failure. We conducted a retrospective analysis of 38 patients who initiated PD between October 2022 and March 2025 in a newly established Tunisian center. All catheters were implanted by mini laparotomy. Mechanical complications occurring during a minimum follow-up of three months were recorded. Fourteen patients (37%) experienced at least one mechanical complication, mainly catheter dysfunction including migration, obstruction, and drainage failure. The incidence of catheter replacement or reinsertion was 2.16 per 100 patient-months. All complications were successfully managed with conservative measures or catheter reinsertion, and no patient required permanent transfer to hemodialysis. These findings suggest that, although mechanical complications are frequent in newly established PD programs, they can be effectively managed through close monitoring and standardized protocols.
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Hadded, S., Gaied, H., Bettaieb, A., et al. (2026). Mechanical complications of peritoneal dialysis in a newly established Tunisian center: a single-center retrospective study. Bulletin de la Dialyse à Domicile. https://doi.org/10.25796/bdd.v9i2.87107