Tank E S, Hatch D A
J Pediatr Surg. 1986 Jan;21(1):41-2. doi: 10.1016/s0022-3468(86)80650-9.
The sustained hydraulic pressure developed within the peritoneal cavity during chronic ambulatory peritoneal dialysis (CAPD) may develop any actual or potential defect in the inguinal or umbilical area into a clinical hernia. Seven of 19 children have developed inguinal hernias after initiation of CAPD. Demonstration of the presence of a processus vaginalis by peritoneography during catheter placement permits their repair at that time. Late development of clinical indirect inguinal hernias early in our experience after high ligation of the processus vaginalis emphasizes the fact that tight closure of the internal ring is necessary.
持续性非卧床腹膜透析（CAPD）期间腹腔内形成的持续液压，可能会使腹股沟或脐部区域任何实际的或潜在的缺损发展为临床疝气。19名儿童在开始CAPD后有7名出现了腹股沟疝。在置管期间通过腹膜造影显示鞘突的存在，可在此时进行修补。在我们的经验中，在高位结扎鞘突后早期出现临床间接腹股沟疝，这强调了内环紧密闭合的必要性。
