Document Detail


Abdominal wall hernia repair in patients with chronic renal failure and a dialysis catheter.
MedLine Citation:
PMID:  11387729     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This paper describes the incisional hernia repair technique carried out on 50 patients with chronic renal insufficiency requiring continuous ambulatory peritoneal dialysis. The technique involved fixing a polypropylene mesh prosthesis to the deep face of lateral incisions into the aponeurosis of the rectus abdominis muscle. Under general or epidural anaesthesia the old scar was resected and the hernial sac dissected, care being taken not to open the peritoneum. At 5 cm from either side of the hernia margin, the aponeurosis was incised longitudinally and the adjacent muscle separated. The mesh was sutured to the deep face of the aponeurosis, covering the hernial defect. A Tenckhoff catheter was left in the abdominal cavity. Peritoneal dialysis was given to all 50 patients in the immediate postoperative period, with no leaking of the dialysis fluid. One year later there has been no recurrence. Prosthetic mesh fixed to the deep face of the abdominal aponeurosis at incisions lateral to the hernia margins, without opening the peritoneum, is an effective treatment of incisional hernia repair for patients on peritoneal dialysis and allows early institution of dialysis.
Authors:
G Guzmán-Valdivia; I Zaga
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Hernia : the journal of hernias and abdominal wall surgery     Volume:  5     ISSN:  1265-4906     ISO Abbreviation:  Hernia     Publication Date:  2001 Mar 
Date Detail:
Created Date:  2001-06-04     Completed Date:  2001-10-04     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9715168     Medline TA:  Hernia     Country:  France    
Other Details:
Languages:  eng     Pagination:  9-11     Citation Subset:  IM    
Affiliation:
General Hospital No 1 Gabriel Mancera, Mexico City, Mexico. guzvaldi@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Catheterization
Follow-Up Studies
Hernia, Ventral / complications,  surgery*
Humans
Kidney Failure, Chronic / complications*,  therapy
Peritoneal Dialysis, Continuous Ambulatory
Prospective Studies
Prostheses and Implants
Surgical Mesh
Suture Techniques

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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