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Author Interviews


Author Interview: Christine Shea, RN


Management of Peritoneal Dialysis Post Ventral Hernia Repair with Mesh

Christine Crandell, CCHT; Jay Seltzer, MD; Michelle Hofmann, RN, BSN, CNN
Annual Dialysis Conference 2012

What are the main findings of the study?

In peritoneal dialysis (PD) patients undergoing hernia repair surgery, hemodialysis during patient re-cooperation is typical; however, transitioning to hemodialysis therapy is not always a welcomed or possible change for patients.

Using a treatment plan devised by the treating nephrologist, surgeon, dietitian and nephrology nurse, one PD patient was treated after ventral hernia surgery with continued 3 fill/day PD.

This treatment plan utilizing reduced fill volumes and maximal supine positioning during re-cooperation, was such a success, that we have employed a similar plan with another patient that required a laparoscopic umbilical hernia repair.

Were any of the findings unexpected?

Yes. Our re-cooperative PD therapy method will be used as a first option for patients who require minor hernia repairs.

What should clinicians and patients take away from this study?

There is a possible alternative to hemodialysis for PD patients recovering from hernia repair surgery.

What recommendations do you have for future studies as a result of your study?

Offering options to patients for their dialysis care is important.

Collaborations are possible among members of the patient care team to develop treatment plans that accommodate the needs and desires of the patient.

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