We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Hernia repair and simultaneous continuous ambulatory peritoneal dialysis (CAPD) catheter implantation: feasibility and outcome.
- Authors
Horvath, P.; Königsrainer, A.; Mühlbacher, T.; Thiel, K.; Thiel, C.
- Abstract
<bold>Background: </bold>Occurrence of abdominal wall hernias during and before peritoneal dialysis constitutes a pivotal role in treatment discontinuation, failure, and exclusion from this dialysis method. We herein present a single-center experience regarding a one-stage surgical strategy, including hernia repair and simultaneous peritoneal dialysis catheter implantation.<bold>Patients and Methods: </bold>Over a 4-year period, 123 patients underwent peritoneal dialysis catheter implantation and 23 patients (19%) had concomitant abdominal wall hernias and were enrolled in this monocentric prospective study. Data collection included recurrent and new-onset hernias, surgical site infection, 1-year and 2-year catheter survival.<bold>Results: </bold>In 23 patients, 27 hernia repairs combined with peritoneal dialysis catheter implantation were performed. Median age was 52 years (range, 30-85 years) and 18/23 (78%) patients were male. There were no recurrent hernias and no early surgical site infections. Daily flushing was regularly started on the 1st to 3rd postoperative day. Five patients (22%) developed hernias on other anatomical sites, which required hernia repair and perioperative discontinuation of peritoneal dialysis. After a median follow-up of 37 months (range, 28-87 months), 96% of all implanted catheters were still working.<bold>Conclusion: </bold>Hernia repair and simultaneous peritoneal dialysis catheter implantation are associated with no recurrent hernias, an early start of peritoneal dialysis, a very low postoperative morbidity and very high 1-year and 2-year catheter survival.
- Subjects
DIALYSIS catheters; PERITONEAL dialysis; HERNIA; SURGICAL site infections; TERMINATION of treatment; CATHETERS; HERNIA surgery; PILOT projects; CONTINUOUS ambulatory peritoneal dialysis; TREATMENT effectiveness; LONGITUDINAL method
- Publication
Hernia, 2020, Vol 24, Issue 4, p867
- ISSN
1265-4906
- Publication type
journal article
- DOI
10.1007/s10029-019-02086-5