Resumo
Objetivo: Definir a validade do exame de imagem (ultrassonografia) de rotina para detectar a presença de hérnia inguinal antes e após implante do cateter de Tenckhoff. Métodos: Trata-se de um estudo observacional de coorte retrospectiva, realizado no Hospital com pacientes adultos em diálise peritoneal, no qual foram coletados dados clínicos e ultrassonográficos para análise da associação entre hérnia e uso de ultrassonografia de rotina, com exclusão de casos não submetidos ao exame, interrupção da DP por outras causas ou comorbidades confundidoras, sendo os dados analisados pelo software SPSS (IC95%, p<0,05). Resultados: Foram avaliados 63 pacientes em diálise peritoneal, dos quais 7,9% apresentavam hérnia antes do início da terapia e 22,2% desenvolveram hérnia após o implante do cateter de Tenckhoff. A maioria dos casos pós-DP foi manejada cirurgicamente, enquanto 7,9% permaneceram em acompanhamento conservador. Não foi observada associação estatisticamente significativa entre a presença de hérnia e a descontinuação da técnica dialítica. Conclusão: A ultrassonografia de rotina mostrou-se válida e segura na detecção de hérnias em diálise peritoneal, com prevalência de 7,9% antes e 22,2% após o implante do cateter, reforçando sua importância para diagnóstico precoce, prevenção de complicações e padronização em protocolos assistenciais.
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