Three Cases of Inguinal Hernia on Peritoneal Dialysis

Inguinal hernia is a complication of peritoneal dialysis; however, neither an established surgical procedure for inguinal hernia repair nor perioperative dialysis management has yet been established. We recently experienced three surgical cases in which inguinal hernia occurring during peritoneal dialysis (PD) was repaired using the direct Kugel patch method. In Case 1, a 60-year-old man developed right inguinal hernia 31 months after the introduction of PD and underwent hernia repair. PD was resumed on the day of the surgery. In Case 2, a 66-year-old man developed left inguinal hernia 19 months after the introduction of PD, and hernia repair was performed. He also resumed PD on the day of the surgery. In Case 3, a 65-year-old man developed left inguinal hernia 30 months after the introduction of PD and underwent hernia repair. PD was also resumed on the day of the surgery. The use of the underlay mesh placement for inguinal hernia repair allows PD patients to resume dialysis on the day of the surgery, thereby reducing various types of burden on such patients.