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Simultaneous continuous ambulatory peritoneal dialysis catheter implantation and inguinal hernia repair

C Arunkumar Singh1, N Saratkumar Singh, G S Moirangthem

  • 1Department of Surgery, Regional Institute of Medical Sciences, Imphal.

Journal of the Indian Medical Association
|August 17, 2006
PubMed

Insights

Continuous ambulatory peritoneal dialysis (CAPD) offers a vital treatment for end-stage renal disease. In Manipur, CAPD catheter implantation is successfully performed, even with concurrent inguinal hernia repair.

Area of Science:

  • Nephrology
  • Surgical Procedures

Background:

  • Continuous ambulatory peritoneal dialysis (CAPD) is an underutilized renal replacement therapy in India.
  • CAPD catheter implantation commenced in Manipur in May 2001.
  • The procedure is routinely offered to end-stage renal disease patients in the region.

Observation:

  • A total of 116 CAPD catheter implantations have been performed.
  • Three patients presented with concurrent inguinal hernia.
  • Inguinal hernia is typically a relative contraindication for CAPD.

Findings:

  • Simultaneous CAPD catheter implantation and inguinal hernia repair were successfully performed.
  • The study describes the procedure and its outcomes in this specific patient cohort.

Implications:

  • This approach demonstrates the feasibility of managing CAPD patients with inguinal hernias in a single surgical setting.
  • Highlights the adaptability of CAPD programs in resource-limited settings.
  • Suggests potential for wider adoption of CAPD in India, even in complex cases.

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