Inguinal hernias in patients on continuous ambulatory peritoneal dialysis: is tension-free mesh repair feasible?
| العنوان: | Inguinal hernias in patients on continuous ambulatory peritoneal dialysis: is tension-free mesh repair feasible? |
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| المؤلفون: | Chunzhong Lin, Guozhong Liu, Shangeng Weng, Zheng Shi, Qiyu Chi, Zhibo Zhang |
| المصدر: | BMC Surgery BMC Surgery, Vol 20, Iss 1, Pp 1-6 (2020) |
| بيانات النشر: | Springer Science and Business Media LLC, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, Tension-free, medicine.medical_treatment, Peritoneal dialysis, lcsh:Surgery, Hernia, Inguinal, Abdominal wall, Mesh repair, Peritoneal Dialysis, Continuous Ambulatory, Humans, Medicine, Hernia, Perioperative Period, Aged, Retrospective Studies, Aged, 80 and over, business.industry, Inguinal hernia, Continuous ambulatory peritoneal dialysis, lcsh:RD1-811, General Medicine, Perioperative, Middle Aged, Surgical Mesh, medicine.disease, Surgery, Treatment Outcome, medicine.anatomical_structure, Seroma, Kidney Failure, Chronic, Female, Hemodialysis, business, Research Article |
| الوصف: | Background Continuous ambulatory peritoneal dialysis (CAPD), which often causes a common complication such as abdominal wall hernia, is a prevalent alternative therapy for end-stage renal failure patients. However, relevant studies are somewhat rare, and the peritoneal dialysis (PD) protocol during the perioperative period is still controversial. The aim of this study was to evaluate the effectiveness and perioperative management of tension-free mesh repair for inguinal hernias in CAPD patients. Methods Between January 2013 and December 2019, 18 CAPD patients with 20 inguinal hernias who underwent tension-free mesh repair were retrospectively analyzed. Data on demographics, perioperative features, the perioperative dialysis protocol and surgical complications were collected and assessed. Results All hernias were diagnosed after the start of CAPD, and the median duration from PD onset to hernia formation was 16 months (2–61 months). All patients underwent successful tension-free mesh repair, including 17 Lichtenstein and 3 anterior Kugel procedures. The median operation time was 62.5 min, and the median postoperative hospital stay was 3 days. Fifteen patients received low-exchange volumes and high-frequency exchanges from 1 to 3 days after surgery for 2 weeks with gradual resumption of the original CAPD regimen within 4 weeks. Complications included seroma (n = 2) and hematoma (n = 1). No wound or mesh infection or recurrence occurred during the follow-up period. Conclusions Tension-free mesh repair is safe and feasible for inguinal hernias in CAPD patients, The Lichtenstein mesh repair should be the first choice, and anterior Kugel repair may be considered an effective procedure. Bridging hemodialysis seems unnecessary except for emergency surgery. |
| تدمد: | 1471-2482 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::cbf1ae6878e02318afd3e83b2ff335ed https://doi.org/10.1186/s12893-020-00979-2 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....cbf1ae6878e02318afd3e83b2ff335ed |
| قاعدة البيانات: | OpenAIRE |
Find this article in full text from Springer Verlag. | تدمد: | 14712482 |
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