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13-11-2023 | Inguinal Hernia

The clinical implications of occult inguinal hernia identified during laparoscopic peritoneal dialysis catheter insertion

Authors: Masashi Tsunematsu, Keigo Nakashima, Junji Takahashi, Takashi Aida, Teppei Kamada, Toru Ikegami, Naoki Washida, Yutaka Suzuki

Published in: Surgical Endoscopy | Issue 1/2024

Abstract

Background

Occult inguinal hernias predispose patients undergoing peritoneal dialysis (PD) to symptomatic inguinal hernia formation causing complications. We conducted a retrospective study to assess the usefulness of routine laparoscopic examination for occult inguinal hernia during PD catheter insertion and the risk profile of occult inguinal hernia according to hernia classification in patients with PD.

Methods

This study included 79 patients who underwent initial laparoscopic PD catheter insertion between 2021 and 2022. An occult hernia was defined as an internal hernial sac of all sizes that was not detectable on physical examination. The European Hernia Society groin hernia classification was used to describe the hernia type. We investigated the association between event-free survival and occult inguinal hernias in patients undergoing PD.

Results

Occult inguinal hernias were diagnosed in 24 (32%) patients. Among these patients, 5 (21%) patients underwent metachronous repair. In patients with L2 occult hernias, the cumulative incidence rates of right and left symptomatic hernias within one year were 100% and 50%, respectively. Multivariate analysis revealed that L2 occult hernias were associated with metachronous hernia repair.

Conclusion

The L2 occult inguinal hernia during PD was associated with metachronous repair, suggesting the importance of routine examination of inguinal hernias during laparoscopic PD catheter insertion.

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Title: The clinical implications of occult inguinal hernia identified during laparoscopic peritoneal dialysis catheter insertion
Authors: Masashi Tsunematsu
Keigo Nakashima
Junji Takahashi
Takashi Aida
Teppei Kamada
Toru Ikegami
Naoki Washida
Yutaka Suzuki
Publication date: 13-11-2023
Publisher: Springer US
Keywords: Inguinal Hernia
Peritoneal Dialysis
Published in: Surgical Endoscopy / Issue 1/2024
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-023-10516-w

Keynote webinar | Spotlight on medication adherence

Springer Medicine

The clinical implications of occult inguinal hernia identified during laparoscopic peritoneal dialysis catheter insertion

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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