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Related Experiment Videos

Hernias associated with CAPD in children.

A E Khoury1, J Charendoff, J W Balfe

  • 1Division of Urology & Nephrology, Hospital for Sick Children, University of Toronto, Ontario, Canada.

Advances in Peritoneal Dialysis. Conference on Peritoneal Dialysis
|January 1, 1991
PubMed
Summary
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Pediatric patients on peritoneal dialysis (PD) have a high incidence of hernias, particularly inguinal hernias in males under 2. Prompt surgical repair with Cooper ligament reinforcement and bilateral repair in young males is recommended.

Area of Science:

  • Pediatric Surgery
  • Nephrology
  • Gastroenterology

Background:

  • Peritoneal dialysis (PD) is a treatment for kidney failure.
  • Hernias are a known complication in patients undergoing PD.
  • The incidence and optimal management of hernias in pediatric PD patients require further investigation.

Purpose of the Study:

  • To determine the incidence of hernias in pediatric patients on PD.
  • To identify risk factors for hernia development and recurrence.
  • To recommend optimal surgical management strategies for hernias in this population.

Main Methods:

  • Retrospective review of 79 pediatric patients on PD.
  • Analysis of hernia occurrence, type, and patient demographics.
  • Evaluation of surgical repair techniques and recurrence rates.

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Main Results:

  • Twenty-eight hernias occurred in 18 of 79 pediatric PD patients.
  • Inguinal hernias were most common, particularly in males under 2 years old.
  • High recurrence rates were observed with simple hernia sac ligation.

Conclusions:

  • Pediatric PD candidates require thorough hernia screening.
  • Prompt, elective inpatient hernia repair is crucial.
  • Surgical correction should include Cooper ligament repair; bilateral repair is advised for males under 2, even with unilateral presentation.