Risk factors associated with hernias on peritoneal dialysis

Sastre, Aránzazu; González-Arregoces, Jose; Romainoik, Igor; Mariño, Santiago; Lucas, Cristina; Monfá, Elena; Aguilera, Ana; León, Benjamin de; Stefan, George; Prieto, M.Á. Rodríguez

doi:10.1016/j.nefroe.2016.11.009

Cited by 4 publications

(4 citation statements)

References 5 publications

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“…Patients with a complicated umbilical hernia and irreducible inguinal hernia underwent surgical repair (28.57%); those with a reducible umbilical hernia (71.42%), were managed conservatively. Apart from one small study [20], this is in contrast with previous studies that have reported 60% to 90% of surgical repair rates in patients with a hernia on PD. [4,5,8,9] There is general agreement in these studies that abdominal wall hernias should be repaired due to increased risks of bowel complications (bowel incarceration and/or strangulation), enteric peritonitis in incarcerated hernias, PD failure, and dialysate leak [5,15,21].…”

Section: Discussioncontrasting

confidence: 84%

“…In our study, out of those who were managed conservatively, 53.3% of patients were managed by a change in prescription to APD/low‐volume APD, and the rest were managed by a change to low‐volume CAPD. Similarly, in a small study by Sastre et al of 44 prevalent patients on PD, 6 out of 8 patients with hernia were managed by a change of prescription to APD, and 1 patient remained on CAPD with a reduction of dwell volume; with these prescription changes, 75% patients remained asymptomatic and without complications; and only 12.5% was repaired surgically [20].…”

Section: Discussionmentioning

confidence: 99%

“…Studies have reported the duration of onset ranging from 0.3 to 105 months [9]. Independent risk factors that have been described for the development of hernia in PD include being elderly males, polycystic kidney disease, previous hernia repair, midline incision for PD catheter placement, high BMI, greater residual volume, and prolonged PD duration [3,9,19,20]. In our study, CAPD versus APD as a dialysis modality (OR: 11.623, 95% CI: 2.060-65.581, p = 0.005) was the only independent factor associated with hernia development.…”

Section: Discussionmentioning

confidence: 99%

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Prevalence and outcome of abdominal wall hernia in patients with end‐stage renal disease on peritoneal dialysis

et al. 2022

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Introduction We aimed to study the prevalence, risk factors, management, and outcome of hernias in end‐stage renal disease (ESRD) patients on peritoneal dialysis (PD) from India. Methods This was a retrospective study of ESRD‐PD patients who developed hernias over 11 years. Results Of 470 PD patients, 21 developed hernias (4.2%). Mean age of patients was 49.9 ± 15.36 years; 15 (66.66%) were males; 18 (85.71%) patients had umbilical hernia, 3 (14.28%) had inguinal hernia. Continuous ambulatory PD (CAPD) versus automated PD (APD) (OR: 11.623, 95% CI: 2.060–65.581, p = 0.005) was the independent risk factor identified. Incarcerated umbilical/inguinal hernia was managed surgically (6 [28.57%]); uncomplicated umbilical hernia (15 [71.42%]) managed conservatively (shift to (APD) [33.33%]; switch to low‐volume APD [20%], switch to low‐volume CAPD [46.66%]). None had postoperative hernia recurrences; 4 (19%) had PD technique failure; median PD survival was 36 (IQR 17–55) months. Conclusion Although complicated hernias in PD require surgical repair, uncomplicated umbilical hernias can be managed conservatively by switching to APD/low‐volume CAPD, with good long‐term PD technique survival.

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Section: Discussioncontrasting

confidence: 84%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Prevalence and outcome of abdominal wall hernia in patients with end‐stage renal disease on peritoneal dialysis

et al. 2022

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“…We found patients in the hernia repair group indeed had a higher percentage of male, a finding that is consistent with that reported by other investigators [ 9 ]. Our patients in the non-RLEOH group did have higher incidences of history of abdominal surgery and intraabdominal adhesion; the former is a risk factor of hernia formation in patients on PD [ 22 , 23 ], whereas the role of the latter is undefined. Whatever their potential impacts, these two factors did not increase the risk of metachronous hernia repair in our patient population as revealed by our regression analyses.…”

Section: Discussionmentioning

confidence: 90%

Clinical benefits of routine examination and synchronous repair of occult inguinal hernia during laparoscopic peritoneal dialysis catheter insertion: a single-center experience

Kou

Yeh

Tsai

et al. 2021

Hernia

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Purpose Occult inguinal hernias (IH) predispose peritoneal dialysis (PD) patients to the symptomatic IH formation after starting PD, which may cause complications. We conducted a retrospective study to assess the benefit/risk profile of routine laparoscopic examination for occult IH (RLEOH) with a synchronous repair in patients receiving PD catheter placement. Methods 432 patients were enrolled in this study. Patients with an internal hernia sac at all sizes were deemed to have occult IH. We retrospectively reviewed data including demographic characteristics and operative details. We also measured incidence rates of symptomatic IH, metachronous IH repair, and catheter survival over a follow-up period after starting PD. Results These patients were classified into the RLEOH group (n = 365) and the non-RLEOH group (n = 67). The RLEOH group was subdivided into occult IH with a synchronous repair (n = 17; the subgroup A), no occult IH (n = 339; the subgroup B), and occult IH without a synchronous repair (n = 9; the subgroup C). The incidence rates of symptomatic IH developed after staring PD in subgroups A, B, and C were 0, 5.6, and 22.2%, respectively, whereas that in the non-RLEOH group was 13.4%. The RLEOH group had a reduced hazard ratio for metachronous IH repair compared with the non-RLEOH group (HR = 0.426; 95% CI 0.195–0.930, p = 0.032). None of our patients suffered from herniorrhaphy-related complications. Conclusion RLEOH with a synchronous repair during PD catheter insertion confers clinical benefits in reducing the risk of developing IH after starting PD and the need for a metachronous repair. This is a safe and reasonable approach.

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Safety of hernia sac resection in inguinal herniorrhaphy for patients on peritoneal dialysis: a case series

Kiyasu,

Ogata,

Matsuda

et al. 2024

Hernia

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Risk factors associated with hernias on peritoneal dialysis

Cited by 4 publications

References 5 publications

Prevalence and outcome of abdominal wall hernia in patients with end‐stage renal disease on peritoneal dialysis

Prevalence and outcome of abdominal wall hernia in patients with end‐stage renal disease on peritoneal dialysis

Clinical benefits of routine examination and synchronous repair of occult inguinal hernia during laparoscopic peritoneal dialysis catheter insertion: a single-center experience

Safety of hernia sac resection in inguinal herniorrhaphy for patients on peritoneal dialysis: a case series

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