Reduction of peritonitis with the rectus abdominis muscle flap in a CAPD patient

An adolescent maintained on continuous ambulatory peritoneal dialysis (CAPD ) for 8 years had relapsing peritonitis involving peritoneal catheter tunne l infections. We attempted catheter removal and replacement simultaneously, with the catheter covered cylindrically by a rectus abdominis muscle flap to prevent recurrent tunnel infections. During 3 years of follow-up, there have been no episodes of peritonitis involving tunnel infection. Our modifi ed insertion technique can eradicate tunnel infection, thus reducing perito nitis.