Jurnalul de Chirurgie
 Jurnalul de chirurgie
Aparitie trimestriala in a doua luna a trimestrului
Published quarterly in the second month of the quarter
ISSN: 1584 - 9341 Vol.10 Nr.3 - Iulie-Septembrie 2014 | luni, 18 noiembrie 2019
ISSN: 1584 - 9341 Vol.10 No.3 - July-September 2014
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MANAGEMENT OF UMBILICAL HERNIA IN LIVER CIRRHOSIS – PROSPECTIVE STUDY
Gabriela Balan (1*), Anca Trifan (2), Camelia Cojocariu (2), D. Botezatu (1)
(*) PhD student „Gr.T. Popa” University of Medicine and Pharmacy Iaşi
(1) Clinic of Gastroenterology, „Sf. Ap. Andrei” Emergency County Hospital Galați
(2) Gastroenterology and Hepatology Center Iaşi, St Spiridon University Hospital
„Gr.T. Popa” University of Medicine and Pharmacy Iaşi
Jurnalul de chirurgie 2011; 7 (3): 380-385
Full text:
Format PDF (Română/Romanian)

Abstract:

Umbilical hernia is a common finding in cirrhotic patients with ascites. Optimal management in patients with umbilical hernias and liver cirrhosis with ascites is still undefined. Aim: to evaluate the management of umbilical hernia in patients with liver cirrhosis and ascites and to determine the optimal management in these cases. Methods: In the period between 1stJanuary 2007-31stDecember 2007, 31 patients with umbilical hernia combined with liver cirrhosis and ascites were admitted in our clinic. Because of high operative risks, 8 patients underwent elective hernia repair and 23 were managed initially conservatively. Results: The mean age of the group was 58,03±10,39 years and hernia occurred more frequently in men 17 of 31 cases (54,84%). The main indication for elective herniorrhaphy was incarceration in 6 cases (75%). Successful rate of the elective surgery was 62,5%, with 2 cases (25%) of wound-related complications and one case (12,5%) of hernia recurrence during follow up period. Complications occurred in 13 of 23 patients managed initially conservatively and 8 required emergent herniorrhaphy. In this group two patients (8,69%) died from complications of the umbilical hernia and 2 cases developed recurrent hernia, which were managed conservatory because of refractory ascites. Morbidity rate in emergent surgery was higher than in elective surgery group. Conclusions:  Emergent repair in cirrhotics is associated with worse outcomes. Early elective repair may improve the overall outcomes for patients with cirrhosis. The control of ascites is critical to a successful outcome.

KEY WORDS: LIVER CIRRHOSIS; ASCITES; UMBILICAL HERNIA

Correspondence to: Gabriela Bălan, MD, Clinic of Gastroenterology, „Sf. Ap. Andrei” Emergency County Hospital Galați, Str. Brăilei nr. 177, 800578. Tel.: 0236 301111, 0236 301112. Fax : 0236 461000, e-mail:



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Jurnalul de chirurgie [Journal of Surgery] by Editorial Board, Department of Surgery University of Medicine and Pharmacy Iasi, E. Tarcoveanu, R. Moldovanu is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
Based on a work at www.jurnaluldechirurgie.ro.