Anterior tension-free repair under local anesthesia of abdominal wall hernias in continuous ambulatory peritoneal dialysis patients

Hernia : the Journal of Hernias and Abdominal Wall Surgery
E GianettaS Saffioti

Abstract

A 10-year experience of abdominal wall hernia repair performed with anterior tension-free mesh or plug technique under local anesthesia in end-stage renal failure patients submitted to continuous ambulatory peritoneal dialysis (CAPD) is described in order to assess the safety and effectiveness of this approach. Between January 1993 and December 2002, 18 hernia repairs were performed under local anesthesia in 16 patients (14 males and two females) with a mean age of 70 years (48-78). One umbilical and three unilateral inguinal hernias were observed and repaired before starting peritoneal dialysis (PD), while two umbilical, eight unilateral, and two bilateral groin hernias developed and were then treated during PD. Repairs were performed electively in all but one case, which was an emergency operation for strangulation. An ipsilateral scrotal swelling was also present in two indirect unilateral inguinal hernias. In these cases, the hernia sac was ligated before entering, while in the others it was simply dissected and inverted. Patients were discharged the same day or the day after surgery. No local or general immediate or late complications occurred. CAPD in subjects operated on during PD treatment was resumed the same day of su...Continue Reading

References

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Citations

Jan 18, 2013·Indian Journal of Nephrology·G SwarnalathaK V Dakshinamurty
Sep 11, 2013·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Stephen P Haggerty, Juaquito M Jorge
Oct 9, 2014·Surgical Endoscopy·Stephen HaggertyUNKNOWN SAGES Guidelines Committee
Nov 3, 2006·Kidney International. Supplement·J H Crabtree
Jul 3, 2013·Wiener medizinische Wochenschrift·Gerd R SilberhumerFerdinand Mühlbacher
Mar 3, 2011·Applied Psychophysiology and Biofeedback·Quinn A MorarendDavid C Holmes
Apr 28, 2019·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·John H CrabtreeFrank J M F Dor
Jan 10, 2018·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Susie Q Lew
Nov 2, 2013·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Sagrario BaldaEdwina Brown
Feb 18, 2006·The International Journal of Artificial Organs·J H Crabtree
Feb 18, 2020·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Yan LukKin Yuen Wong
Jun 20, 2020·Hernia : the Journal of Hernias and Abdominal Wall Surgery·J D ThomasS Rosenblatt

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