Abdominal wall hernias in patients on continuous ambulatory peritoneal dialysis
DOI:
https://doi.org/10.52076/eacad-v3i2.148Keywords:
Abdominal wall hernias; Peritoneal dialysis; Lichtenstein technique.Abstract
Continuous ambulatory peritoneal dialysis (CAPD) catheters are indicated for patients with end-stage renal failure who require dialysis and who cannot undergo conventional hemodialysis. Peritoneal dialysis (PD) uses the catheter to infuse the dialysis product and to remove excess solutes and fluids from the body. One of the complications of PD is hernia of the abdominal wall, which occurs due to the increase in intra-abdominal pressure caused by the dialysate and the deterioration of the tissue of the abdominal wall. The procedure of choice for hernioplasties is the tension-free mesh, as it reduces post-surgical morbidity and guarantees quality of life for individuals with end-stage renal failure. Thus, the aim of the study is to discuss abdominal wall hernias in patients with CAPD. This is an integrative literature review, which used the PubMed, SciELO and Cochrane Library platforms as databases for the selection of scientific articles, in English. According to the literature analyzed, it is concluded that patients with renal failure using CAPD are prone to develop abdominal wall hernias due to an increase in intra-abdominal pressure due to the dialysate and the deterioration of the abdominal wall tissue, being possible worsening of renal function. The most appropriate surgical technique was Lichtenstein's, although there are disagreements in the literature, since lateral coupling robotically assisted by totally extraperitoneal repair (eTEP), at least for umbilical hernioplasty, was considered to have the best prognosis.
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Copyright (c) 2022 Gustavo Soares Gomes Barros Fonseca; Giovanna Maria Pacheco Barroso Maia; Melissa Clementino Sousa; João Víctor Pacheco Florentino; Lorena Barros Dias; Camilla Menezes de Carvalho; Felipe Ramos Caldeira; Gabriel Neves Ezon Ferraz; Vitória Rios Bandeira Castro; Vinícius Raposo de Sousa Lima; João Pedro de Araújo Carvalho; Ana Valéria Brandão de Sá Costa; Isabella de Lacerda Lima; Juliana Pessoa Ferreira; Sávio de Sá Hipólito; Guilherme Sousa Martins; Adriano Araujo de Almeida Costa ; Letícia Destêrro e Silva Moreira Lima; Mariana Santos Lopes; Vitor Figueiredo Aguiar; Larissa Rocha Brasil; Roberto Augusto Lopes Cajubá de Britto; Ayla Cristina Duarte Neiva; Hugo Cavalcanti de Oliveira Melo; Luciene Cipriano de Andrade; Rillary Maxine Sales Oliveira; Isadora Lima Pereira; Kivia Ariana Rodrigues Vieira; Natália Miranda Machado; Elizabeth Cristina de Carvalho Noleto; Jonhnny Welton Feitosa Melo
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