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Inguinal hernia repair in patients with liver cirrhosis accompanied by ascites

PURPOSE: We describe the clinical characteristics and assess the outcomes and stability of inguinal hernia repair under local anesthesia for patients with liver cirrhosis accompanied by ascites. METHODS: We retrospectively reviewed the medical records of 22 patients with cirrhosis and ascites who un...

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Autores principales: Hur, Young Hoe, Kim, Jung Chul, Kim, Dong Yi, Kim, Shin Kon, Park, Chan Yong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Surgical Society 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3204689/
https://www.ncbi.nlm.nih.gov/pubmed/22066069
http://dx.doi.org/10.4174/jkss.2011.80.6.420
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author Hur, Young Hoe
Kim, Jung Chul
Kim, Dong Yi
Kim, Shin Kon
Park, Chan Yong
author_facet Hur, Young Hoe
Kim, Jung Chul
Kim, Dong Yi
Kim, Shin Kon
Park, Chan Yong
author_sort Hur, Young Hoe
collection PubMed
description PURPOSE: We describe the clinical characteristics and assess the outcomes and stability of inguinal hernia repair under local anesthesia for patients with liver cirrhosis accompanied by ascites. METHODS: We retrospectively reviewed the medical records of 22 patients with cirrhosis and ascites who underwent mesh plug hernia repair performed by a single surgeon from January 2002 to August 2009, and the clinical characteristics and outcomes of the patients were analyzed. RESULTS: Twenty-two patients were included in the study. Fifteen (68.2%) were Child's class B and seven (31.8%) were Child's class C. Hernia repairs were successful without major complications or recurrence in all patients. Minor complications occurred in only three patients, consisting of two hematomas and one case of scrotal swelling. Complications were resolved spontaneously without the need for blood transfusion or reintervention. Thirteen patients died during follow-up (59.1%); eight of these patients died within 1 year after hernia repair. However, there was no 30-day postoperative mortality. Five of the eight patients who died were Child's class B and the remaining three patients were Child's class C. Deaths were all related to cirrhotic complications, and there was no operation-related mortality. CONCLUSION: Inguinal hernia repairs under local anesthesia in patients with cirrhosis accompanied by ascites were performed safely and effectively. Therefore, surgical repair is recommended even in patients with refractory ascites and poor hepatic function to prevent life-threatening complications or severe pain and improve quality of life.
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spelling pubmed-32046892011-11-07 Inguinal hernia repair in patients with liver cirrhosis accompanied by ascites Hur, Young Hoe Kim, Jung Chul Kim, Dong Yi Kim, Shin Kon Park, Chan Yong J Korean Surg Soc Original Article PURPOSE: We describe the clinical characteristics and assess the outcomes and stability of inguinal hernia repair under local anesthesia for patients with liver cirrhosis accompanied by ascites. METHODS: We retrospectively reviewed the medical records of 22 patients with cirrhosis and ascites who underwent mesh plug hernia repair performed by a single surgeon from January 2002 to August 2009, and the clinical characteristics and outcomes of the patients were analyzed. RESULTS: Twenty-two patients were included in the study. Fifteen (68.2%) were Child's class B and seven (31.8%) were Child's class C. Hernia repairs were successful without major complications or recurrence in all patients. Minor complications occurred in only three patients, consisting of two hematomas and one case of scrotal swelling. Complications were resolved spontaneously without the need for blood transfusion or reintervention. Thirteen patients died during follow-up (59.1%); eight of these patients died within 1 year after hernia repair. However, there was no 30-day postoperative mortality. Five of the eight patients who died were Child's class B and the remaining three patients were Child's class C. Deaths were all related to cirrhotic complications, and there was no operation-related mortality. CONCLUSION: Inguinal hernia repairs under local anesthesia in patients with cirrhosis accompanied by ascites were performed safely and effectively. Therefore, surgical repair is recommended even in patients with refractory ascites and poor hepatic function to prevent life-threatening complications or severe pain and improve quality of life. The Korean Surgical Society 2011-06 2011-06-09 /pmc/articles/PMC3204689/ /pubmed/22066069 http://dx.doi.org/10.4174/jkss.2011.80.6.420 Text en Copyright © 2011, the Korean Surgical Society http://creativecommons.org/licenses/by-nc/3.0 Journal of the Korean Surgical Society is an Open Access Journal. All articles are distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Hur, Young Hoe
Kim, Jung Chul
Kim, Dong Yi
Kim, Shin Kon
Park, Chan Yong
Inguinal hernia repair in patients with liver cirrhosis accompanied by ascites
title Inguinal hernia repair in patients with liver cirrhosis accompanied by ascites
title_full Inguinal hernia repair in patients with liver cirrhosis accompanied by ascites
title_fullStr Inguinal hernia repair in patients with liver cirrhosis accompanied by ascites
title_full_unstemmed Inguinal hernia repair in patients with liver cirrhosis accompanied by ascites
title_short Inguinal hernia repair in patients with liver cirrhosis accompanied by ascites
title_sort inguinal hernia repair in patients with liver cirrhosis accompanied by ascites
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3204689/
https://www.ncbi.nlm.nih.gov/pubmed/22066069
http://dx.doi.org/10.4174/jkss.2011.80.6.420
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