A Clinical study of patients in perltoneal dialysis treatment having concomittantly abdominal wall hernias for repair
- VernacularTitle:腹膜透析病人合并腹壁疝的临床诊治体会
- Author:
Zheng-Qian BIAN
1
;
Ming ZHONG
;
Ai-Wu LIN
;
Wei FANG
;
Li-Ou CAO
;
Ai-Ping GU
;
Yi-Jun ZHOU
Author Information
1. 上海交通大学医学院附属仁济医院
- Keywords:
Hemia;
tension-free hemioplasty;
Continuous ambulatory peritoneal dialysis;
Automated peritoneal dialysis
- From:
Journal of Surgery Concepts & Practice
2009;14(4):415-419
- CountryChina
- Language:Chinese
-
Abstract:
Objective To elucidate the experience in hemioplasty in patients undergoing peritoneal dialysis. Metbods From January 2002 to July 2008, 45 patients having 48 hemias were studied. Inguinal (50.0%) and umbilical (39.6%) were the most common sites. Multiple hemias were detected in 3 patients. All patients were operated upon with tension-free hemioplasty technique using a polypropylene mesh. Automated peritoneal dialysis was reinstituted in 97.8% of the cases in 24 h postoperatively. Results Forty-eight hemias were detected in 45 patients. Mean operation time and post-operative hospital-stay were (63±38) minutes and 4 (1-26) days. Complications occurred in 7(14.6%) hemioplasties (2 wound infections, 2 wound bleeding, 2 seroma and 1 peritonitis). The average follow-up was (29±21) months. None of the patients had leakage or early hemia recurrence due to early resumption of automated peritoneal dialysis (APD); there were no long-term complications (leakage or recurrence). Conclusions Problems accompanying hernia in continuous ambulatory peritoneal dialysis patients can be safely solved by using a careful technique of tension-free hemioplasty. Postoperative dialysis with APD can be applied after operation.
