PMID: 16623425Apr 21, 2006Paper

Prevalence and management of hernias in peritoneal dialysis patients

Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis
Miguel Angel García-UreñaMiguel Velasco García

Abstract

The aim of this study was to assess the prevalence of hernias before and after the start of continuous ambulatory peritoneal dialysis (CAPD) in patients with end-stage renal disease, and to evaluate the result of a proposed surgical treatment. Prospective observational study. University hospital. 122 patients who started CAPD from 1994 to 2000; 26 hernias were diagnosed in 21 (17.2%) patients. Finding of hernias; morbidity associated with catheter insertion and hernia repair; recurrence of hernias. 19 hernias were detected in 15 patients (12.3%) before they began CAPD; only 7 hernias were observed while on CAPD. Umbilical (61.5%) and inguinal (26.9%) hernias were the most common. Multiple hernias were detected in 4 patients. Simultaneous repair of hernia and catheter insertion was performed in patients with pre-existing hernias. Under local anesthesia, most patients were operated on with surgical techniques of tension-free hernioplasty using a polypropylene mesh. Only mild post-operative complications were recorded: 3 seromas and 1 hematoma. No fluid leakage was found in our series. There were no long-term complications (infection or recurrence) related to the mesh. 73% of hernias in peritoneal dialysis patients occur before st...Continue Reading

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