Outcome of sublay mesh repair in non-complicated umbilical hernia with liver cirrhosis and ascites

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• 作者：Ahmed Mohamed Abdelaziz Hassan ; Asaad Fayrouz Salama ; Hussam Hamdy ; Magdy Mohamed Elsebae ; Ayman Mohamed Abdelaziz ; Wessam Abdelrahman Elzayat
• 关键词：Sublay mesh repair ; Umbilical hernia ; Ascites
• 刊名：International Journal of Surgery
• 出版年：2014
• 年：2014
• 卷：12
• 期：2
• 页码：181-185
• 全文大小：1345 K

文摘

Background

Umbilical hernia repair is often accompanied by complications in patients with liver cirrhosis and ascites. It appears that the early elective repair of umbilical hernias in these patients is safer and can be considered for selected patients. The objective of this study is to evaluate the feasibility, safety, complications and technical aspects of sublay mesh repair of umbilical hernia in cirrhotic patients with ascites.

Methods

Between October 2010 and April 2013, 70 patients with non-complicated umbilical hernia, liver cirrhosis and ascites were enrolled in this study. All patients underwent sublay mesh repair. Demographic data, preoperative variables, peri-operative course, and postoperative complications were recorded and analyzed.

Results

A total of 38 women and 32 men underwent operation at an average age 51.24 years. The patients mean MELD score was 18 (range 12-25). The mean operative time was 67.45聽min聽and the average hospital stay was 3.8 days. 2 patients had wound infection, 3 patients developed seroma and 1 patient had an ascitic fistula. Recurrence occurred in 1 (1.4%) patient and no mortality related to the procedure.

Conclusion

elective sublay umbilical hernia mesh repair is a safe approach and feasible technique in selected non-complicated cirrhotic patients with ascites.