Having a hernia enables you to perform peritoneal dialysis, but there is a risk of worsening or incarcerating the hernia.
Peritoneal dialysis is one of the treatment modalities for chronic kidney disease and acute kidney injury. It is a treatment in which peritoneal fluid is introduced into the abdominal cavity and utilizes the exchange of substances between the peritoneum and the blood in the peritoneal capillaries to remove excess water and metabolic wastes and replenish bases.
When the peritoneal fluid is pumped into the abdominal cavity, the intra-abdominal pressure is increased, which becomes a trigger for the re-dislodgement of organs from the abdominal cavity into the hernia pouch, and may even result in the failure of the hernia contents to be retracted and the occurrence of an incarcerated hernia.
The occurrence of an incarcerated hernia, in turn, sometimes leads to transmural leakage and peritonitis, which prevents continuation of peritoneal dialysis or affects the adequacy of dialysis.
Those with hernia are advised to visit the nephrology department of the hospital, where the doctor will make a comprehensive assessment of the condition and give a suitable treatment plan.