HERNIA REPAIR WITHOUT DELAY IN INITIATING OR CONTINUING PERITONEAL DIALYSIS

摘要

The relative frequency at which abdominal wall hernias occur in patients on peritoneal dialysis (PD) emphasizes theimportance of developing effective management strategies to avoid delays in initiating or continuing dialysis. Despite recommendations to the contrary (1-3), it isstillnotan uncommon community practice to stage hernia repairs as a separate procedure priorto catheter placement (4-6). Furthermore, protracted healing times are regularly imposed after hernia operations before com-mencing or returning to PD (4,6-12). Often, the effects of increased hydrostatic pressure from PD on the abdominal wall and impaired wound healing in uremic patients are not adequately considered during surgical repair, leading to an unacceptable rate of recurrent hernias (1,3,10).