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Related Experiment Videos

Continuing CAPD after herniotomy.

C Tast1, U Kuhlmann, H Stölzing

  • 1Robert-Bosch-Hospital, Department of Internal Medicine, Division of General Internal Medicine and Nephrology, Stuttgart, Germany. c.tast@t-online.de

EDTNA/ERCA Journal (English Ed.)
|March 18, 2003
PubMed
Summary
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Continuing peritoneal dialysis (PD) after herniotomy (HT) is safe. A modified PD regimen allows patients to resume treatment within weeks post-surgery without complications like leakage or recurrence.

Area of Science:

  • Nephrology
  • Surgical Procedures

Background:

  • Controversy exists regarding the safety of continuing peritoneal dialysis (PD) after herniotomy (HT).
  • Nephrologists often pause PD post-HT due to concerns about dialysate leakage and hernia recurrence.

Purpose of the Study:

  • To evaluate the safety and feasibility of continuing PD treatment after herniotomy.

Main Methods:

  • Retrospective analysis of 12 patients undergoing herniotomy (umbilical, inguinal, or open processus vaginalis) using the Lichtenstein method.
  • PD was temporarily paused for surgery and 1-3 days postoperatively.
  • A modified PD regimen with low volume and high frequency exchanges was initiated, gradually returning to the previous regimen within 2-4 weeks.

Main Results:

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  • All 12 patients tolerated the modified PD regimen well post-herniotomy.
  • No cases of dialysate leakage or hernia recurrence were observed at 3-month follow-up.
  • No patients required temporary hemodialysis.

    • Conclusions:

    • Continuing a modified PD regimen after herniotomy appears safe and comfortable for patients.
    • This approach avoids interruptions in dialysis and potential complications.