Afthentopoulos IE, Rao P, Bhaskaran S, Oreopoulos DG
Does a large dialysate volume (2.5 liters) increase hernia
formation in CAPD?
17th Annual CAPD Conference
Perit Dial Int Suppl 1
(Feb) 17:S55 1997
To achieve adequate dialysis in PD, it may be necessary to use a high-dose
prescription; e.g. 2.5 litres per exchange. The risk of this treatment
consists mainly of inducing hernia. To address this issue, a retrospective
study in 404 CAPD patients on 2 litre exchanges, and 50 patients on 2.5
litre exchanges was performed. 16.8% of the first group developed a hernia
after an average CAPD treatment time of 9.9 months. For the 2.5 litre
exchange group this was separately calculated for patients that went
immediately on 2.5 litre (n=23), and for those who were initially using 2
litre bags before switching to 2.5 litres (n=27). In the latter group 18%
had had a repaired hernia. The whole group of patients using 2.5 litre
exchanges showed only 1 case of hernia over a treatment time of 12 months.
Comment: It is concluded that there are no arguments in disfavour of
high-volume PD concerning the delopment of hernia.
This is an interesting study, although the numbers of patients in the
subgroups are low compared to the 2 litre exchange group. Although it is
unlikely that the even lower risk of hernia in high-volume patients can be
confirmed in larger and longer trials, it is worthy to study this
phenomenon more in detail.
(Johan Rosman M.D., The Hague, Netherlands)
To go back use the BACK button on your browser.
Otherwise click on the desired link to this article below:
17th Annual CAPD Conference
Basic peritoneal dialysis :
Complications of PD
Basic peritoneal dialysis :
PD solutions, equipment