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Abdominal hernias complicating continuous ambulatory peritoneal dialysis
American Journal of Nephrology
|January 1, 1986
Summary
Continuous ambulatory peritoneal dialysis (CAPD) patients have a 25% risk of developing abdominal hernias, particularly at the catheter site. Age, parity, previous surgeries, and prior hernia repair increase this risk, necessitating early surgical intervention.
Area of Science:
- Nephrology
- Gastroenterology
- Surgical Oncology
Background:
- Continuous ambulatory peritoneal dialysis (CAPD) is a common treatment for end-stage renal disease.
- Abdominal hernias are a known complication of CAPD, but their incidence and risk factors require further elucidation.
Purpose of the Study:
- To determine the incidence of abdominal hernias in CAPD patients.
- To identify risk factors associated with hernia development in this population.
- To assess the complications and recommend management strategies for hernias in CAPD patients.
Main Methods:
- A retrospective review of CAPD patients was conducted.
- Data collected included patient demographics, surgical history, hernia type and location, and complications.
- Statistical analysis was performed to identify significant risk factors.
Main Results:
- Twenty-five percent of CAPD patients developed abdominal hernias.
- Common hernia sites included the catheter insertion site (32.4%), inguinal (17.6%), epigastric/umbilical (26.5%), and previous incision sites (23.5%).
- Increased risk was observed in patients over 40, women with >3 parity, those with >3 laparotomies, and individuals with prior hernia repair.
Conclusions:
- Abdominal hernias are a significant complication in CAPD patients, with specific locations and risk factors identified.
- Early surgical repair is recommended to prevent complications such as incarceration and strangulation.