Abstract
A 66-year-old male patient on CAPD was treated conservatively for the complication of an abdominal wall hernia which appeared at the internal cuff site. Blood access in this patient seemed nearly impossible due to frequent previous shunt operations. The volume of dialysate was reduced from 8l/day down to 5l/day under scrupulous observation. The levels of BUN and β2-MG were found to be only mildly elevated while other laboratory parameters and water removal appeared to be maintained at clinically acceptable levels.
Our experience suggests that conservative treatment can be chosen in some cases of abdominal wall hernia as shown in this report. The possibility of conservative treatment, properly modified for each case, should be taken into consideration before opting for surgery.
