Inguinal Hernia: Diagnostic Trap
Asian Journal of Research in Surgery,
Hernia is the most common parietal complication in cirrhotic patients. In the latter, it is ascites that explains why its prevalence is higher than in the general population. When a surgical treatment of the hernia is decided, control of the ascites is necessary and is essentially based on repeated punctures, Although the treatment of Hernia was long reserved for symptomatic forms, it is currently recommended to treat paucisymptomatic forms due to serious complications that could occur (rupture or strangulation) including, Emergency surgical treatment is accompanied by a high morbidity and mortality rate in cirrhotic patients. During repair, it is necessary to excise all necrotic tissue.
It is possible to use prosthetic material if the neck is wide without increasing the risk of secondary infection, provided sterile ascites is present. The advantage of the laparoscopic approach is to avoid dissection of superinfected skin. In case of small neck, a cure under local anesthesia is possible.
- cystic ascites
How to Cite
Umbilical Hernias, Cirrhose S. Dokmak B. Aussilhou J. Belghiti service de chirurgie hépatobiliaire et pancréatique, hôpital Beaujon, 100, boulevard duGénéral-Leclerc, 92110 Clichy, France 11; 2012.
Bezzola T, Bühler L, Chardot C, Morel P. Le traitement chirurgical du lymphangiome kystique abdominal chez l´adulte et chez l´enfant. Journal de Chirurgie. 2008; 145(3):238-243. PubMed| Google Scholar
Zekri B, et al. Lymphangiome kystique rétropéritonéal. Journal Africain d’Hépato-Gastroentérologie. 2010;4:260-262.
Eker HH, van Ramshorst GH, de Goede B, et al. A prospective study on elective umbilical hernia repair in patients with liver cirrhosis and ascites. Surgery. 2011; 150(3):542-6.
Carbonell AM, Wolfe Luke LG, DeMaria EJ. Poor outcomes in cirrhosis-associated hernia repair: a nationwide cohort study of 32,033 patients. Hernia. 2005;9:353-7.
Hansen JB, Thulstrup AM, Vilstup H, Sorensen HT. Danish nationwide cohort study of postoperative death in patients with liver cirrhosis undergoing hernia repair. Br J Surg. 2002;89:805-6.
Oh HK, Kim H, Ryoo S, Choe EK, Park KJ. Inguinal hernia repair in patients with cirrhosis is not associated with increased risk of complications and recurrence. World J Surg. 2011;35(6):1229-33
Patti R, Almasio PL, Buscemi S, Famà F, Craxì A, Di Vita G. Inguinal hernioplasty improves the quality of life in patients with cirrhosis. Am J Surg. 2008;196(3):373-8.
Carbonell AM, Wolfe Luke LG, DeMaria EJ. Poor outcomes in cirrhosis-associated hernia repair: a nationwide cohort study of 32,033 patients. Hernia. 2005;9:353—7.6. Xiao J, Shao Y, Zhu S, He X. Characteristics of adult abdominal cystic Lymphangioma: a single-center Chinese cohort of 12 cases. BMC Gastroenterol. 2020;20:244.
Lawson EH, Benjamin E, Busuttil RW, Hiatt JR. Groin herniorrhaphy in patients with cirrhosis and after liver transplantation. Am Surg. 2009;75(10): 962-5.
Bajaj JS, Varma RR. TIPSS as therapeutic modality for umbilical hernia in patients with advanced liver disease. Liver Transpl. 2004;10(1):159-60.
Telem DA, Schiano T, Divino CM. Complicated hernia presentation in patients with advanced cirrhosis and refractory ascites: management and outcome. Surgery. 2010;148(3):538-43.
Marsman HA, Heisterkamp J, Halm JA, Tilanus HW, Metselaar HJ, Kazemier G. Management in patients with liver cirrhosis and an umbilical hernia. Surgery. 2007;142:372-5.8. Gorincour, G. et al. [Percutaneous treatment of cystic lymphangiomas]. Ann. Chir. Plast. Esthet. 2006;51:423-428.
Abstract View: 14 times
PDF Download: 6 times