Outcome of sublay mesh repair in non-complicated umbilical hernia with liver cirrhosis and ascites

Hassan, Ahmed Mohamed Abdelaziz; Salama, Asaad F; Hamdy, Hussam; Elsebae, Magdy M.A.; Abdelaziz, Ayman Mohamed; Elzayat, Wessam Abdelrahman

doi:10.1016/j.ijsu.2013.12.009

Cited by 24 publications

(28 citation statements)

References 19 publications

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“…Hassan et al. explained three techniques for the placement of mesh during hernia repair, Onlay (over the muscles and under the skin), Sublay (between posterior rectus sheath and rectus muscles) and Inlay (under the peritoneum) [102]. But Garcia-Urena et al.…”

Section: Physical Properties Of Meshesmentioning

confidence: 99%

Physical structure and mechanical properties of knitted hernia mesh materials: A review

Sanbhal

Miao

et al. 2017

Journal of Industrial Textiles

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Mesh implantation for hernia repair is one of the common surgical techniques. The goal of this review is to highlight the basic requirements of mesh in order to select the most appropriate hernia mesh considering mesh type, physical properties and mechanical properties. Textile warp-knitted synthetic meshes have significantly decreased recurrence rate of hernia. Polypropylene light weight mesh with antimicrobial coating is taking attention of researchers due to its improved compliance, infection resistance, hydrophobicity, inert nature and strong material. Composite meshes have better tissue incorporation, reduced shrinkage and improved mechanical properties. The mesh porosity is an important factor to predict the biocompatibility of all meshes. Usually, large pore size meshes are better than small pore size meshes because of their flexibility, decreased shrinkage, reduced scar bridging and increased tissue ingrowth. All synthetic and composite meshes have higher strength than the human abdominal wall. Mesh type, mesh structure, mechanical properties and mesh implantation techniques are important factors for hernia repair. It is critical to understand the physical structure and mechanical properties of mesh material in relation to human abdominal wall. Moreover, mesh surface functionalization and grafting with plasma is a new development technique to enhance the loading of antimicrobial agent for the prevention of mesh infection.

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Section: Physical Properties Of Meshesmentioning

confidence: 99%

Physical structure and mechanical properties of knitted hernia mesh materials: A review

Sanbhal

Miao

et al. 2017

Journal of Industrial Textiles

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“…In our case, the patient was young and clinically stable with no signs of infection; hence, we decided to repair the hernia using the sublay technique because it has a lower rate of infection and recurrence [8,9]. The sublay technique can be used in elective repair and also in emergency situations [10,11]. Our patient, treated with an intraperitoneal drain, prophylactic broad spectrum antibiotics, albumin, and regular dressing, showed an improved abdominal distention and was discharged on day 14 in good condition.…”

Section: Discussionmentioning

confidence: 93%

Spontaneous Umbilical Hernia Rupture Associated With Omentum Evisceration in a Patient With Advanced Hepatic Cirrhosis and Refractory Ascites

Albeladi¹,

Odeh²,

AlAli³

et al. 2021

Cureus

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Flood syndrome is a spontaneous rupture of an umbilical hernia. It has a high mortality and morbidity and presents many challenges in medical versus surgical management. We present a case of a 23-year-old Yamani woman with complicated umbilical hernia, newly diagnosed hepatitis B infection, and decompensated liver cirrhosis with ascites (Child-Pugh grade B). The patient was undergoing multiple abdominal ascitic tapping that eventually ruptured with an omentum evisceration, causing Flood syndrome. An urgent umbilical hernioplasty with mesh in a sublay technique was conducted.

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“…Laparoscopic umbilical herniorrhaphy, a minimally invasive and tension-free procedure, has also been advocated as a beneficial approach in cirrhotic patients with complicated hernia compared to open repair [ 14 , 15 ]. Liver transplantation can be pursued simultaneously with umbilical herniorrhaphy in patients anticipating transplants within three to six months or emergently in patients with hernia complications [ 16 , 5 ].…”

Section: Discussionmentioning

confidence: 99%

Flood Syndrome: A Rare and Fatal Complication of Umbilical Hernia in Liver Cirrhosis

Sheikh¹,

Siraj²,

Fatima³

et al. 2020

Cureus

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Flood syndrome, first reported in 1961 by Frank B Flood, refers to spontaneous umbilical hernia rupture followed by a sudden rush of ascitic fluid. It is a rare sequela in the setting of refractory ascites and liver cirrhosis. Clues to impending rupture include color changes, ulceration, or necrosis over the umbilical hernia that warrants urgent surgical intervention. In this report, we present a unique case of Flood syndrome in a patient with decompensated cirrhosis and umbilical hernia. The patient underwent urgent umbilical herniorrhaphy without mesh; even though adequate postoperative management of ascites was performed, the patient still developed other comorbidities.

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Outcome of sublay mesh repair in non-complicated umbilical hernia with liver cirrhosis and ascites

Abstract: elective sublay umbilical hernia mesh repair is a safe approach and feasible technique in selected non-complicated cirrhotic patients with ascites.

Cited by 24 publications

References 19 publications

Physical structure and mechanical properties of knitted hernia mesh materials: A review

Physical structure and mechanical properties of knitted hernia mesh materials: A review

Spontaneous Umbilical Hernia Rupture Associated With Omentum Evisceration in a Patient With Advanced Hepatic Cirrhosis and Refractory Ascites

Flood Syndrome: A Rare and Fatal Complication of Umbilical Hernia in Liver Cirrhosis

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