Prognostic Indicators of Hernia Development in Patients Undergoing CAPD

Among 157 patients trained for CAPD, 81 hernias developed in 44 of them. The hernias were 30% incisional, 38% umbilical, 17% inguinal and 15% ventral. Most hernias developed within the first year. Parous females, patients with polycystic kidney disease, and those with prior hernia surgery were at highest risk of this complication and deserve special vigilance. Hernias should be treated promptly to avoid incarceration which occurred in 19% of this series.