Keywords
Peritoneal dialysis
Hernia
Ultrasonography
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Abstract
Objective: To define the validity of routine imaging (ultrasonography) for detecting inguinal hernia before and after Tenckhoff catheter implantation. Methods: This was a retrospective cohort observational study conducted at the Hospital with adult patients on peritoneal dialysis. Clinical and ultrasonographic data were collected to analyze the association between hernia and the use of routine ultrasonography, excluding cases not submitted to the exam, PD discontinuation due to other causes, or confounding comorbidities. Data were analyzed using SPSS software (95% CI, p<0.05). Results: A total of 63 patients on peritoneal dialysis were evaluated; 7.9% presented hernia before therapy initiation and 22.2% developed hernia after Tenckhoff catheter implantation. Most post-PD cases were surgically managed, while 7.9% remained under conservative follow-up. No statistically significant association was observed between hernia presence and discontinuation of the dialysis technique. Conclusion: Routine ultrasonography proved valid and safe for detecting hernias in peritoneal dialysis, with a prevalence of 7.9% before and 22.2% after catheter implantation, reinforcing its importance for early diagnosis, complication prevention, and standardization in clinical protocols.
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