Laparoscopic hernia repair in patients with peritoneal dialysis

Abstract

Abstract Purpose This study aimed to investigate the feasibility, efficacy, and safety of laparoscopic hernia repair in patients experiencing hernia while undergoing peritoneal dialysis. Methods The clinical data of 9 patients undergoing peritoneal dialysis complicated by abdominal hernia admitted for repair from July 15, 2020 to April 18, 2022 were retrospectively analyzed, and the therapeutic effect of the surgical approach was determined. Results From July 15, 2020 to April 18, 2022, 9 patients undergoing peritoneal dialysis experienced an abdominal wall hernia, all of whom underwent laparoscopic hernia repair in the First Affiliated Hospital of Shandong First Medical University. Moreover, 7 patients presented with inguinal hernia, among whom 3 exhibited intraoperative bilateral inguinal hernia, all of whom underwent conventional TAPP surgery. Moreover, 2 cases presented with umbilical hernia, repaired by IPOM. All surgeries were successful without requiring conversion to open surgery. The mean follow-up time was (8.33±7.61) months, and no recurrence or chronic pain was reported. One patient died due to a car accident. Discussion Laparoscopic hernia repair is a feasible and effective intervention for patients undergoing peritoneal dialysis complicated by an abdominal hernia. The advantages of laparoscopic hernia repair over open surgery include simplicity of the surgical approach, accelerated recovery, a reduced incidence of complications, the allowance of simultaneous observation of the contralateral inguinal region intraoperatively, and simultaneous fixation of the dialysis tube as needed. Given these observed advantages, laparoscopic hernia repair should be considered as a safe and effective surgical method for patients undergoing peritoneal dialysis complicated by abdominal hernia.