Safety of hernia sac resection in inguinal herniorrhaphy for patients on peritoneal dialysis: a case series

IF 2.6 2区医学 Q1 SURGERY

Hernia Pub Date : 2024-09-17 DOI:10.1007/s10029-024-03166-x

Yoshiyuki Kiyasu, Nobuhito Ogata, Satoshi Matsuda, Hiroshi Kusanagi

引用次数: 0

Abstract

Peritoneal dialysis (PD) is a risk factor for inguinal hernia, and herniorrhaphy on PD might be complicated by PD fluid.Although sac resection should contribute to preventing indirect hernia recurrence, the safety on PD has not beendescribed. This case series describes the detailed surgical procedures and long-term outcomes of 16 cases ofinguinal herniorrhaphy on PD. Results are shown as median (range). The age was 67.5 (53–83) years. Beginning atthe 6th case, we omitted interim hemodialysis and performed the Lichtenstein procedure. We performed sac excisionin the 14 patients. No complication related to PD was found. The follow-up period was 41.5 (4–124) months. Norecurrence occurred. They could continue PD for 21.5 (4–103) months after surgery. The total PD duration was 38.5(18–152) months. In conclusion, inguinal herniorrhaphy with sac resection may not compromise safety even forpatients on PD and achieve the expected PD duration without recurrence.

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腹膜透析患者腹股沟疝切除术中疝囊切除的安全性：病例系列

腹膜透析（PD）是腹股沟疝的一个危险因素，腹膜透析时的疝切除术可能会因腹膜透析液而变得复杂。虽然囊切除术应有助于防止间接疝复发，但其在腹膜透析时的安全性尚未得到描述。本病例系列描述了 16 例腹股沟疝切除术的详细手术过程和长期疗效。结果以中位数（范围）表示。患者年龄为 67.5（53-83）岁。从第 6 例开始，我们省去了中期血液透析，并实施了 Lichtenstein 手术。我们为 14 例患者实施了囊切除术。未发现与腹膜透析相关的并发症。随访时间为 41.5（4-124）个月。无复发。术后他们可以继续进行腹腔镜手术 21.5（4-103）个月。总的持续时间为 38.5（18-152）个月。总之，腹股沟疝修补术同时切除疝囊可能不会影响安全性，即使患者正在进行腹膜后切除术，也能达到预期的腹膜后切除术持续时间，且不会复发。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Hernia SURGERY-

CiteScore

4.90

自引率

26.10%

发文量

171

审稿时长

4-8 weeks

期刊介绍： Hernia was founded in 1997 by Jean P. Chevrel with the purpose of promoting clinical studies and basic research as they apply to groin hernias and the abdominal wall . Since that time, a true revolution in the field of hernia studies has transformed the field from a ”simple” disease to one that is very specialized. While the majority of surgeries for primary inguinal and abdominal wall hernia are performed in hospitals worldwide, complex situations such as multi recurrences, complications, abdominal wall reconstructions and others are being studied and treated in specialist centers. As a result, major institutions and societies are creating specific parameters and criteria to better address the complexities of hernia surgery. Hernia is a journal written by surgeons who have made abdominal wall surgery their specific field of interest, but we will consider publishing content from any surgeon who wishes to improve the science of this field. The Journal aims to ensure that hernia surgery is safer and easier for surgeons as well as patients, and provides a forum to all surgeons in the exchange of new ideas, results, and important research that is the basis of professional activity.