peritonial dialysis confusion

[capricornguy89]

hello everyone,
my father is esrd patient on hemodialysis.he has had a transplant 10 years back
also he is hcv positive.
we were about to go for re transplant but doctor said there is considerable risk of liver failure so he advised capd.
the surgeon says you have hernia so the hernia would have to be repaired in order to get pd installed.
our nephrologist says that there is considerable risk in capd and such a method of hernia repair and pd wont be successful and can prove to be fatal as it also caries risk of infection.
what should we do ?

[Joe]

I can't speak to the hernia repair risk, have not had to deal with that. There is an increased risk of infection with PD, but your father just needs to be evil careful about being clean. I did CAPD then transitioned over to CCPD about a month ago. I love it and the freedom it gives me doing my dialysis at home.

[jeannea]

I'm confused. If he already had one transplant why would a second one increase the risk of liver failure more than it is there already? And why PD instead of staying on hemo if he has hernias? I think what you may need is a second opinion.

[Henry P Snicklesnorter]

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[tbarrett2533]

I do not know anything about hernias, but I do know that I love CAPD!! 
I was on Hemo for 8 months and was more sick than not and it consumed my life, while on PD now for only 4 months I feel "human" again....
take a minute and get on over to the home dialysis section and like I tell EVERYONE read my post over there called "a step by step PD experience." hopefully that will answer some of your question's surrounding PD

good luck to you and your dad 

 

[Annig83]

I agree with Jeannea, I think you need a second opinion.  I have had many abdominal surgeries, I just had my Umbilical Hernia repaired last Thursday.  My surgeon opted for no mesh so that I had a smaller risk of infection.  I have a few dissolvable stitches in my belly, and although I am a bit swollen, I am back on PD with no pain, or issues. 

The only reason I can think of for them being concerned with his HCV is if they are looking to get him back on another transplant list, I know there is a risk of damaging the kidneys further because the liver aids in cleaning out the blood, which is then filtered to the kidney.... at least I think that' what they told me


I too don't understand why he can't stay on Hemo? 
The hernia being repaired does have a risk of happening again, and there is a risk of infection, but if taken care of properly, and PD is started on low bags (1L bags) (I currently use 5L) so that the stitches don't stretch.

See what another doc. says, maybe you'll get more insight than what you have gotten already?  Good luck.

[capricornguy89]

i want to add that we want to shift to pd because my father hates hemo-dialysis.
he consumes very little food and is getting weaker gradually.