Perioperative management of continuous ambulatory peritoneal dialysis patients undergoing inguinal hernia surgery.
Management of patients undergoing dialysis after inguinal hernia surgery has not been standardized. This report presents the results of 9 patients with inguinal hernias (11 hernias) who were undergoing continuous ambulatory peritoneal dialysis (CAPD). All patients treated in this hospital since 2007 have returned to CAPD within 3 days after surgery without switching to hemodialysis (HD). The mean durations for resuming CAPD after surgery were 7.6 days from 1998 through 2007 and 2.3 days since 2008. The surgical procedure was performed with a polypropylene mesh in all cases. Local anesthesia was utilized for one patient with low cardiac function. All patients recovered rapidly, with no uremia or dialysis-related complications. No leakage or hernia recurrence was observed over the subsequent observation period (56.2 months). This experience suggests the possibility that interim HD can therefore be skipped in patients undergoing CAPD if the hernia sacs are closed tightly. Local anesthesia seems to be safe for high-risk hernia patients undergoing CAPD.
Department of Surgery, Mitsui Memorial Hospital, 1 Kandaizumi-cho, Chiyoda-ku, Tokyo, Japan.
Masaki
M
Wakasugi
Toru
T
Hirata
Yusuke
Y
Okamura
Keisuke
K
Minamimura
Akihisa
A
Umemura
Masahiro
M
Kikuichi
Masayoshi
M
Sakamoto
D000328:Adult; D000368:Aged; D000772:Anesthesia, Local; D005260:Female; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019990:Perioperative Care / Q000379:methods*; D010531:Peritoneal Dialysis, Continuous Ambulatory; D011126:Polypropylenes; D013526:Surgical Mesh; D013997:Time Factors
D011126:Polypropylenes
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