ArticleLife (Basel, Switzerland)2024
Management and Outcomes for Peritoneal Dialysis Patients Diagnosed with Abdominal Hernias.
Article in Life (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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7 citing papers in PubMed.
- Review
- How pre-education affects patients choosing appropriate renal replacement treatment: a retrospective study.BMC nephrology · 2026Article
- Recurrent obturator hernia in a patient with autosomal dominant polycystic kidney disease undergoing peritoneal dialysis: a case report.CEN case reports · 2026Article
- Semi-Urgent Totally Extraperitoneal Repair for Inguinal Hernia Causing Insufficient Intraperitoneal Exchange in a Patient on Peritoneal Dialysis: A Case Report.Surgical case reports · 2026Article
- Machine learning-based prediction of hernia risk in peritoneal dialysis patients: a comparative study of models and SHAP-driven interpretability analysis.Frontiers in medicine · 2026Article
- Article
- A study on predictive nomogram for abdominal wall hernia in peritoneal dialysis patients based on multicenter data.Frontiers in medicine · 2025Article
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6 authors.
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Abstract
BACKGROUND/
objectivesThe success of peritoneal dialysis is highly dependent on the integrity of the abdominal wall. Therefore, routine examination and treatment of abdominal hernias can prevent peritoneal dialysis (PD) failure, discontinuation, and conversion to hemodialysis. In this present study, we present our examination protocol for patients proposed for PD and our attitude in treating parietal defects in patients on peritoneal dialysis.
objectiveshighlight whether PD is a risk factor for the occurrence of ventral hernias, the relationship between associated pathologies and the occurrence of hernias and the need for an HD switch in the postoperative period.
methodsBetween January 2016 and December 2022, a group of 133 patients proposed for insertion of a PD catheter were evaluated according to the protocol established by our hospital. Routine examination for the diagnosis of abdominal hernias and repair before starting the DP is part of the procedure. We included patients with a 3 year minimum follow-up after insertion and evaluated the incidence of parietal defects that appeared during PD treatment.
resultsNine patients were diagnosed and operated on for abdominal hernia before starting peritoneal dialysis and none of them had a recurrence of hernia during PD. Twelve patients were diagnosed with abdominal hernias during dialysis treatment (9% incidence) and the median length of time at which parietal defects occur during PD is 12.5 months [range 2-48]. Median BMI is 27.12 [range 22.3-31.24], with a female-male ratio of 2:1 Five patients were transferred to HD, three permanently and two patients temporarily. No patient abandoned PD treatment due to the presence of an abdominal parietal defect.
conclusionsDiagnosis of ventral hernias prior to the time of catheterization for PD leads to a decrease in the incidence of parietal defects during PD and is mandatory in patients who are candidates for PD. Open alloplastic surgical procedures are safe procedures with a low recurrence rate in PD patients. The postoperative continuation of PD is feasible but the decision is to be made by the multidisciplinary team and individualized for each patient.
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