Related Experiment Video
Updated: Jul 4, 2026

Surgical Techniques for Catheter Placement and 5/6 Nephrectomy in Murine Models of Peritoneal Dialysis
Published on: July 19, 2018
Abdominal wall hernias in end-stage renal disease patients on peritoneal dialysis
Gustavo Martínez-Mier1, Eduardo Garcia-Almazan, Hugo E Reyes-Devesa
1Department of Surgery, IMSS Adolfo Ruiz Cortines National Medical Center, Veracruz, Mexico. gmtzmier@hotmail.com
Objective:
To describe our experience with hernioplasty in peritoneal dialysis patients and to identify possible risk factors for surgical complications.
Design:
A 4-year retrospective chart review of data.
Setting:
Peritoneal dialysis unit of a university hospital.
Patients And Methods:
58 hernias in 50 patients were included. Detailed surgical technique and complications were recorded. Possible risk factors included age, gender, weight, height, body mass index, previous surgery, diabetes, time on dialysis, emergency surgery, hospital stay, type of hernia, mesh use, blood hemoglobin, and serum urea, creatinine, and potassium.
Results:
Complications occurred in 12 hernioplasties (4 wound infections, 2 peritonitis, 4 catheter dysfunction, and 5 re-operations). Recurrence rate was 12% without mesh use and 0% with mesh hernioplasty. Dialysis was re-instituted in 96% of cases within 3 days postoperatively. Identified risk factors for complications were diabetes, low weight, low height, small body mass index, and low serum creatinine.
Conclusions:
Mesh hernioplasty in peritoneal dialysis patients is advisable. Postoperative dialysis with low volume is feasible after surgery. Prospective studies will corroborate our risk factors for morbidity.
Related Concept Videos
Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications
Peritoneal Dialysis III: Nursing Management
Extracorporeal Removal of Drugs: Peritoneal Dialysis and Hemodialysis
Dialysis
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
Hemodialysis I: Introduction
Hemodialysis III: Nursing Management

