Abstract | BACKGROUND: METHODS: Thirty consecutive LC patients with ascites and affected by inguinal hernia (LC group), who underwent elective open inguinal hernioplasty with mesh placement, have been matched with the same number of patients non-LC (non-LC group) who underwent the same surgical procedure in the same period of time. All patients in LC group received a careful hepatological assessment and were classified according to the etiology of LC and to the Child's class. Patients of both groups received an antibiotic prophylaxis and were operated under local anesthesia. RESULTS: No significant complications were observed in any patients during surgery. The hospital stay was significantly longer in LC group. During the postoperative time, 4 inguinoscrotal hematoma appeared in LC group, of which 3 in class C (LC VS non-LC p>0.05; non-LC VS Child's class C p<0.023). Ascites leakage or wound infection were not observed. CONCLUSION: Inguinal hernioplasty can be safely performed for LC patients in Child's class A and B; for patients in class C, careful attention must be paid to the hemorrhagic events. KEY WORDS:
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Authors | Girolamo Geraci, Piero Luigi Almasio, Martina Mongitore, Rosalia Patti, Angelica Abbate, Gaetano Di Vita |
Journal | Annali italiani di chirurgia
(Ann Ital Chir)
Vol. 90
Pg. 252-257
( 2019)
ISSN: 2239-253X [Electronic] Italy |
PMID | 31354143
(Publication Type: Journal Article)
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Topics |
- Adult
- Ascites
(complications)
- Case-Control Studies
- Hernia, Inguinal
(complications, surgery)
- Herniorrhaphy
(methods)
- Humans
- Liver Cirrhosis
(complications)
- Male
- Middle Aged
- Postoperative Complications
(etiology, prevention & control)
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