Skip to main content
SpringerLink
Log in

Hernia repair and simultaneous continuous ambulatory peritoneal dialysis (CAPD) catheter implantation: feasibility and outcome

  • Original Article
  • Published:
Hernia Aims and scope Submit manuscript

Abstract

Background

Occurrence of abdominal wall hernias during and before peritoneal dialysis constitutes a pivotal role in treatment discontinuation, failure, and exclusion from this dialysis method. We herein present a single-center experience regarding a one-stage surgical strategy, including hernia repair and simultaneous peritoneal dialysis catheter implantation.

Patients and methods

Over a 4-year period, 123 patients underwent peritoneal dialysis catheter implantation and 23 patients (19%) had concomitant abdominal wall hernias and were enrolled in this monocentric prospective study. Data collection included recurrent and new-onset hernias, surgical site infection, 1-year and 2-year catheter survival.

Results

In 23 patients, 27 hernia repairs combined with peritoneal dialysis catheter implantation were performed. Median age was 52 years (range, 30–85 years) and 18/23 (78%) patients were male. There were no recurrent hernias and no early surgical site infections. Daily flushing was regularly started on the 1st to 3rd postoperative day. Five patients (22%) developed hernias on other anatomical sites, which required hernia repair and perioperative discontinuation of peritoneal dialysis. After a median follow-up of 37 months (range, 28–87 months), 96% of all implanted catheters were still working.

Conclusion

Hernia repair and simultaneous peritoneal dialysis catheter implantation are associated with no recurrent hernias, an early start of peritoneal dialysis, a very low postoperative morbidity and very high 1-year and 2-year catheter survival.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Bellizzi V, Giannoulias D, Alsunaid M, Tziviskou E, Aggrawal HK, Khandelwal M, Bargman JM, Jassal SV, Vas SI, Oreopoulos DG (2003) Gynecological surgery: not a contraindication for continuation of CAPD. Perit Dial Int 23:193–196

    Article  Google Scholar 

  2. Nicholson ML, Madden AM, Veitch PS, Donnelly PK (1988) Combined abdominal hernia repair and continuous ambulatory peritoneal dialysis (CAPD) catheter insertion. Perit Dial Int 9:307–308

    Article  Google Scholar 

  3. Garcia-Toledo M, Borras Sans M, Gabarell A, Duran J, Fernandez Giraldez E (2011) Risk factors for abdominal wall hernia in patients undergoing peritoneal dialysis. Nefrologica 31:218–219. https://doi.org/10.3265/Nefrologia.pre2010.Nov.10659

    Article  Google Scholar 

  4. Del Peso G, Bajo MA, Costero O, Hevia C, Gil F, Diaz G, Aguilera A, Selgas R (2003) Risk factors for abdominal wall complications in peritoneal dialysis patients. Perit Dial Int 23:249–254

    Article  Google Scholar 

  5. Garcia-Urena MA, Rodriguez CR, Ruiz VV, Carnero Hernandez FJ, Fernandez-Ruiz E, Vazquez Gallego JM, Velasco García M (2006) Prevalence and management of hernias in peritoneal dialysis patients. Perit Dial Int 26:198–202

    Article  Google Scholar 

  6. Dombros N, Dratwa M, Feriani M, Gokal R, Heimbürger O, Krediet R, Plum J, Rodrigues A, Selgas R, Struijk D, Verger C, EBPG Expert Group on Peritoneal Dialysis (2005) European best practice guidelines for peritoneal dialysis. Nephrol Dial Transplant 20:ix3–ix7

    Article  Google Scholar 

  7. Yang YF, Wang HJ, Yeh CC, Lin HH, Huang CC (2011) Early initiation of continuous ambulatory peritoneal dialysis in patients undergoing surgical implantation of Tenckhoff-catheters. Perit Dial Int 31:551–557

    Article  CAS  Google Scholar 

  8. Shah H, Chu M, Bargman JM (2006) Perioperative management of peritoneal dialysis patients undergoing hernia surgery without use of interim hemodialysis. Perit Dial Int 26:684–687

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of General, Visceral and Transplant Surgery, University of Tübingen, Comprehensive Cancer Center, Hoppe-Seyler-Strasse 3, 72076, Tuebingen, Germany

    P. Horvath, A. Königsrainer, K. Thiel & C. Thiel

  2. Division of Endocrinology, Diabetology, Vascular Disease, Nephrology and Clinical Chemistry, Department of Internal Medicine, University Hospital Tuebingen, Tuebingen, Germany

    T. Mühlbacher

Authors
  1. P. Horvath
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. A. Königsrainer
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. T. Mühlbacher
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. K. Thiel
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. C. Thiel
    View author publications

    You can also search for this author in PubMed Google Scholar

Contributions

CT and KT: development of study design, critical review of the manuscript, analysis, and interpretation of data. PH: acquisition of data, drafting of the manuscript, analysis, and interpretation of data. AK and TM: critical review of the manuscript.

Corresponding author

Correspondence to C. Thiel.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Human and animal rights

The procedures describes in this study were in accordance with the ethical standards of the responsible committee on human experimentation.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Horvath, P., Königsrainer, A., Mühlbacher, T. et al. Hernia repair and simultaneous continuous ambulatory peritoneal dialysis (CAPD) catheter implantation: feasibility and outcome. Hernia 24, 867–872 (2020). https://doi.org/10.1007/s10029-019-02086-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10029-019-02086-5

Keywords

Search

Navigation