title: Impact of hernias on peritoneal dialysis technique survival and residual renal function.
abstract: OBJECTIVE
  We evaluated the effect of hernias and their surgical or conservative management on peritoneal dialysis (PD) technique survival and residual renal function.
  
  
  METHODS
  This 10-year single-center retrospective case-control study (January 2001 - January 2011) compared patient survival, PD technique survival, and residual renal function in patients with a history of abdominal hernias and in a control cohort matched for age and PD vintage.
  
  
  RESULTS
  Of 73 hernias identified in 63 patients (mean age: 55 years; 63% men), umbilical hernias were the most frequent (40%), followed by inguinal (33%), incisional, and epigastric hernias. Some hernias were surgically repaired before (n = 10) or at the time of PD catheter insertion (n = 11), but most (71%) were diagnosed and managed after initiation of PD. Overall, 49 of 73 (67%) hernias were treated surgically. In 53% of subjects, early postoperative dialysis was not needed; only 7 patients required temporary hemodialysis. The occurrence of a hernia and its treatment did not significantly affect residual renal function. After a hernia diagnosis or repair, 86% of patients were able to continue with PD. ♢
  
  
  CONCLUSIONS
  The incidence of abdominal hernia and hernia management in patients on PD do not significantly influence residual renal function or PD technique survival. Timely management of hernias is advisable and does not preclude continuation with PD as a dialysis modality.
authors.affiliation: Imperial Renal and Transplant Center, Hammersmith Hospital, London, UK.
authors.forename: Sagrario
authors.initials: S
authors.lastname: Balda
authors.forename: Albert
authors.initials: A
authors.lastname: Power
authors.forename: Vassilios
authors.initials: V
authors.lastname: Papalois
authors.forename: Edwina
authors.initials: E
authors.lastname: Brown
mesh_terms: D000328:Adult; D000368:Aged; D016022:Case-Control Studies; D003928:Diabetic Nephropathies / Q000628:therapy; D005260:Female; D046449:Hernia, Abdominal / Q000209:etiology* / Q000601:surgery / Q000628:therapy*; D006552:Hernia, Inguinal / Q000209:etiology / Q000628:therapy; D006554:Hernia, Umbilical / Q000209:etiology / Q000628:therapy; D006801:Humans; D007668:Kidney / Q000503:physiopathology*; D007676:Kidney Failure, Chronic / Q000628:therapy; D008297:Male; D008875:Middle Aged; D010530:Peritoneal Dialysis / Q000009:adverse effects* / Q000379:methods* / Q000401:mortality; D012189:Retrospective Studies
keywords: Hernia; residual renal function; survival