Simultaneous abdominal wall defect repair and Tenckhoff catheter placement in candidates for peritoneal dialysis

• DOI: 10.1007/s40620-015-0251-8
• Publication Date: 2015-11-30T12:05:37Z
• Authors: Maurizio Sodo; Umberto Bracale; Gennaro Argentino; Giovanni Merola; Roberta Russo; Giuseppina Sannino; Tania Strazzullo; Domenico Russo
• Keywords: Contraindication; Concomitant; Nephrology

The presence of pre-existing abdominal wall defect (AWD) could represent a potential contraindication for peritoneal dialysis (PD) treatment. We report the results our 6-year experience involving simultaneous repair AWD and catheter insertion PD.Patients with estimated glomerular filtration rate (e-GFR) 7-10 ml/min attending single nephrology clinic between January 2008 December 2014 were evaluated. Simultaneous placement was performed. For inguinal (IH) or umbilical hernia (UH), prolene mesh technique adopted. Except one case total anaesthesia, surgical procedure performed under either spinal local anaesthesia. Ceftazidime alone in association quinolones administered 1 h before surgery dose. Patients discharged 2 days after surgery, returned to twice during 1st week peritoneum washing (first volume solution: 300 ml). From 3, (2000 ml) dwells personalized according patient's clinical condition; options were: incremental PD, standard continuous cycling PD. Surgical follow-up planned at 1, 6, 12 months.Peritoneal catheters inserted 170 patients. IH, UH incisional found 18, patients, respectively. IH bilateral 4 patients; concomitant occurred patient. There no deaths, nor intra-operative complications apart from scrotal haematoma Over mean 551 (range 342-1274) recurrence registered continued functioning without problems.Simultaneous seems reliable safe that allows patients benefit PD