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Abdominal wall hernia complicating continuous ambulatory peritoneal dialysis
H M Chan1, J S Hsieh, C J Huang
1Department of Surgery, Kaohsiung Medical College, Taiwan, Republic of China.
Gaoxiong Yi Xue Ke Xue Za Zhi = the Kaohsiung Journal of Medical Sciences
|August 1, 1994
Summary
Abdominal wall hernias are common in patients undergoing continuous ambulatory peritoneal dialysis (CAPD). Prompt evaluation and treatment of symptomatic hernias are crucial for reducing complications and improving outcomes in CAPD patients.
Area of Science:
- Nephrology
- Gastroenterology
- Surgical Oncology
Background:
- Continuous ambulatory peritoneal dialysis (CAPD) is a standard treatment for end-stage renal disease.
- Abdominal wall hernias frequently occur in patients undergoing CAPD.
- Hernias result from anatomical weaknesses and increased intraperitoneal pressure from dialysate.
Purpose of the Study:
- To review the incidence and management of abdominal wall hernias in CAPD patients.
- To assess the outcomes of surgical intervention for hernias in this population.
- To provide recommendations for preventing and managing hernias during CAPD.
Main Methods:
- Retrospective review of 44 CAPD patients from 1987 to 1991.
- Identification and classification of abdominal wall hernias.
- Analysis of surgical treatment and patient outcomes.
Main Results:
- Eight abdominal hernias (18.18%) were diagnosed during CAPD treatment (5 inguinal, 2 incisional, 1 umbilical).
- Six symptomatic hernias underwent surgical repair.
- Five patients had successful surgical outcomes and returned to CAPD; one patient died from strangulated incisional hernia.
Conclusions:
- Pre-CAPD screening for hernias and timely repair are recommended.
- Symptomatic abdominal wall hernias in CAPD patients require careful evaluation and prompt surgical treatment.
- Increased awareness of hernia complications can decrease morbidity and mortality in CAPD patients.