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Management of umbilical hernia complicated with liver cirrhosis: An advocate of early and elective herniorrhaphy
Digestive and Liver Diseases, 08/30/2011
Clinical Article
Choi SB et al. - Early, elective repair of umbilical hernias in cirrhotic patients should be advocated considering the hepatic reserve and patient's condition. Ascites control is the mainstay of post–operative management.
Methods- Between 2001 and 2010, 44 patients were enrolled in this study.
- Comparison between non-operative and operative group was performed.
- Patients who underwent emergency versus elective surgery were also compared.
- Of the 44 patients, there were 33 men and 11 women.
- 31 patients (70.5%) underwent surgery and 13 patients (29.5%) were treated conservatively.
- Overall morbidity and mortality rates following herniorrhaphy were 42% and 6.5%.
- Mean albumin level was significantly lower and total bilirubin, creatinine and mean model of end-stage liver disease score were significantly higher in non-operative group than in operative group.
- Combined resection was performed more frequently in the emergency group than in elective group.
- Significantly higher proportion of patients in emergency operation group had postoperative complications (P=0.01), especially ascites (P=O.02).
- Operative time and postoperative hospital stay were significantly shorter in the elective operation group than in emergency operation group.
