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ABDOMINAL HERNIAS IN CHRONIC PERITONEAL DIALYSIS PATIENTS: A REVIEW

From the Department ofMedicine and Divison of Nephrology, Vanderbilt University School of Medicine and Veterans Administration Medical Center, Nashville, TN, 37203, USA.

Of 1365 patients on continuous ambulatory peritoneal dialysis (CAPD) identified by a literature review, 174 (12.7%) developed one or more abdominal hernias. Twenty-three per cent of these hernias were inguinal, 19.1% developed at the site of catheter insertion, 18.6% were umbilical, 8.3% were ventral, 9.8% were at other incisional sites, 7.4% were at other sites, and 13.7% were unclassified. Twenty-seven (13.2%) of the hernias were strangulated or incarcerated. The incidence of abdominal hernias in 827 CAPD patients was one per 104.2 cathetermonths, with a range among dialysis centers of one hernia per 47.4 to 779.0 catheter-months. Among 436 patients on intermittent peritoneal dialysis, 12 (2.8%) developed an abdominal hernia, four times less frequently than in CAPD patients (P < 0.001).

KEY WORDS: Chronic Peritoneal Dialysis; Abdominal Hernias; Incarcerated Hernias; Strangulated Hernias.

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