Ahmed Mohamed Abdelaziz Hassan1, Asaad Fayrouz Salama2, Hussam Hamdy3, Magdy Mohamed Elsebae4, Ayman Mohamed Abdelaziz5, Wessam Abdelrahman Elzayat6. 1. General Surgery Department, Theodor Bilharz Research Institute, Giza 12411, Egypt. Electronic address: ahmedelmaghney@yahoo.com. 2. General Surgery Department, Theodor Bilharz Research Institute, Giza 12411, Egypt. Electronic address: asaadfayrouz@live.com. 3. General Surgery Department, Theodor Bilharz Research Institute, Giza 12411, Egypt. Electronic address: hamdy.hussam@gmail.com. 4. General Surgery Department, Theodor Bilharz Research Institute, Giza 12411, Egypt. Electronic address: magdyelsebae@hotmail.com. 5. Hepatogastroenterology Department, Theodor Bilharz Research Institute, Egypt. Electronic address: aymanaaaziz@yahoo.com. 6. Radiology Department, Cairo University, Kasr El Ainy Hospitals, Cairo, Egypt. Electronic address: wessamzayat@yahoo.com.
Abstract
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 min 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.
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 min 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.
Authors: Abdulqader M Albeladi; Ahmad M Odeh; Aminah H AlAli; Abdullah M Alkhars; Adeeb M Buhlaigah; Hussain A Alghadeer; Mohammed J Almosbeh; Mohmmed T AlAbbad; Mohammad S AlGhadeer Journal: Cureus Date: 2021-06-29
Authors: Julio C U Coelho; Christiano M P Claus; Antonio C L Campos; Marco A R Costa; Caroline Blum Journal: World J Gastrointest Surg Date: 2016-07-27