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During the congress, E-Posters will be accessible to all participants on the congress website 24/7, as well as in the E-poster stations in the congress center.
Preparing your E-Poster
Please review the E-Poster format requirements carefully when preparing your E-Poster. Should your E-Poster not meet the mentioned requirements, it may not be displayed as described above.
E-Poster Submission Deadline
Please prepare and upload your E-Poster no later than March 14, 2026 11.59PM CET. After this date, you will no longer be able to prepare and upload your E-poster and it will not be displayed and accessible on the congress website.
Please follow the instructions below to input your abstract title.
Abstract titles should be brief and reflect the content of the abstract.
Hydrothorax is a recognized complication in peritoneal dialysis (PD) patients, with an incidence ranging from 1.6% to 10%. Management strategies include conservative treatment, chemical pleurodesis, and surgical diaphragmatic repair. However, the optimal resting interval after diaphragmatic repair before resuming PD remains unclear. This study aimed to share our institutional experience in managing PD-related hydrothorax at Taipei Veterans General Hospital.
We retrospectively reviewed end-stage renal disease patients who underwent peritoneal dialysis at Taipei Veterans General Hospital between January 2001 and September 2025. A total of 1,130 patients were included. Clinical data regarding hydrothorax management were collected, including treatment modality, recurrence rate, time from surgery to recurrence, and resting interval between diaphragmatic repair and PD resumption.
Among the 1,130 PD patients, 37 (3.27%) developed hydrothorax. The interval between PD initiation and onset of hydrothorax ranged from 1 to 981 days (mean 144.2 days). Management strategies included chemical pleurodesis in 2 patients (5.4%), video-assisted thoracoscopic surgery (VATS) with diaphragmatic repair in 15 patients (40.5%), temporary interruption of PD in 2 patients (5.4%), and permanent transition to hemodialysis in 17 patients (46.0%). One patient continued low-volume PD.
Among the 15 patients who underwent VATS with diaphragmatic repair and pleurodesis, PD was resumed after a mean resting interval of 102.36 days. Two patients (13.3%) experienced recurrence at 130 and 202 days post-repair, respectively
Our findings suggest that a resting interval of approximately three months after VATS diaphragmatic repair allows successful PD resumption with an 86.7% success rate. Further large-scale studies are warranted to determine the optimal timing and refine management strategies for pleuroperitoneal leak in PD patients.
