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Simultaneous abdominal wall defect repair and Tenckhoff catheter placement in candidates for peritoneal dialysis by Maurizio Sodo; Umberto Bracale; Gennaro Argentino; Giovanni Merola; Roberta Russo; Giuseppina Sannino; Tania Strazzullo; Domenico Russo is a Medicine article available to read on EtoBox.
What is Simultaneous abdominal wall defect repair and Tenckhoff catheter placement in candidates for peritoneal dialysis about?
## Introduction The presence of pre-existing abdominal wall defect (AWD) could represent a potential contraindication for peritoneal dialysis (PD) treatment. We report the results of our 6-year experience involving simultaneous repair of pre-existing AWD and catheter insertion for PD. ## Methods Patients with estimated glomerular filtration rate (e-GFR) 7–10 ml/min attending a single nephrology clinic between January 2008 and December 2014 were evaluated. Simultaneous AWD repair and catheter placement was performed. For inguinal (IH) or umbilical hernia (UH), a prolene mesh repair technique was adopted. Except for one case of total anaesthesia, the surgical procedure was performed under either spinal or local anaesthesia. Ceftazidime alone or in association with quinolones was administered 1 h before surgery in a single dose. Patients were discharged 2 days after surgery, and returned to the clinic twice during the 1st week for peritoneum washing (first volume of peritoneal dialysis solution: 300 ml). From week 3, volume (2000 ml) and dwells were personalized according to the patient’s clinical condition; options were: incremental PD, standard PD, or continuous cycling PD. Surgical
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- Author
- Maurizio Sodo; Umberto Bracale; Gennaro Argentino; Giovanni Merola; Roberta Russo; Giuseppina Sannino; Tania Strazzullo; Domenico Russo
- Publisher
- Springer Science and Business Media LLC
- Published
- 2015
- Language
- EN
- Field
- Medicine (Health Sciences)