Abstract | BACKGROUND: METHODS: Between 2001 and 2010, 44 patients were enrolled in this study. The comparison between non-operative and operative group was performed. Patients who underwent emergency versus elective surgery were also compared. RESULTS: Of the 44 patients, there were 33 men and 11 women. Thirty-one 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%. The 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. A significantly higher proportion of patients in emergency operation group had postoperative complications (P=0.01), especially ascites (P=0.02). The operative time and postoperative hospital stay were significantly shorter in the elective operation group than in emergency operation group. CONCLUSIONS: 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.
|
Authors | Sae Byeol Choi, Kwang Dae Hong, Jin Suk Lee, Hyung Joon Han, Wan Bae Kim, Tae Jin Song, Sung Ock Suh, Young Chul Kim, Sang Yong Choi |
Journal | Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver
(Dig Liver Dis)
Vol. 43
Issue 12
Pg. 991-5
(Dec 2011)
ISSN: 1878-3562 [Electronic] Netherlands |
PMID | 21872542
(Publication Type: Journal Article)
|
Copyright | Copyright © 2011 Editrice Gastroenterologica Italiana S.r.l. Published by Elsevier Ltd. All rights reserved. |
Topics |
- Adult
- Aged
- Ascites
(etiology)
- Elective Surgical Procedures
(adverse effects)
- Emergencies
- Female
- Hernia, Umbilical
(complications, surgery)
- Herniorrhaphy
(adverse effects)
- Humans
- Length of Stay
- Liver Cirrhosis
(complications, pathology)
- Male
- Middle Aged
- Recurrence
- Severity of Illness Index
- Time Factors
- Treatment Outcome
|