Is it time to rethink our management of dialysis patients undergoing elective ventral hernia repair?
This is one of the largest studies demonstrating the outcomes of a specific general surgery procedure in dialysis patients. Chronic dialysis prior to elective ventral hernia repair is associated with an increased risk of 30-day mortality, morbidity, and return to the operating room. Dialysis patients are susceptible to infectious, pulmonary, and vascular post-operative complications.
1) At high exercise intensities in the prone position, the decreased hydrostatic pressure reduces maximal exercise duration by virtue of reduced maximal muscle perfusion. 2) In steady-state prone exercise, the local fluid loss appears to increase peripheral heart rate drives.