Gastroenterological Surgery, Kameda Medical Center, Chiba, Japan.
Department of Surgery, Graduate School of Medicine, Kyoto University, 54 Shogoin- Kawahara-cho, Sakyo-ku, Kyoto, 606-8507, Japan.
Hernia. 2024 Dec;28(6):2411-2414. doi: 10.1007/s10029-024-03166-x. Epub 2024 Sep 17.
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.
腹膜透析（PD）是腹股沟疝的一个危险因素，而 PD 患者行疝修补术可能会因 PD 液而变得复杂。虽然疝囊切除术有助于预防间接疝复发，但 PD 的安全性尚未得到描述。本病例系列描述了 16 例 PD 患者行腹股沟疝修补术的详细手术过程和长期结果。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，我们省略了中间的血液透析并进行了 Lichtenstein 手术。我们在 14 名患者中进行了疝囊切除术。未发现与 PD 相关的并发症。随访时间为 41.5（4-124）个月。无复发。手术后他们可以继续 PD 治疗 21.5（4-103）个月。总的 PD 持续时间为 38.5（18-152）个月。总之，即使对于 PD 患者，行疝囊切除术的腹股沟疝修补术也不会影响安全性，并可达到预期的 PD 持续时间而不复发。
