The repair of umbilical hernia in cirrhotic patients: 18 consecutive case series in a single institute

Yu, Byungchul; Chung, Min; Lee, Gil Jae

doi:10.4174/astr.2015.89.2.87

Cited by 24 publications

(32 citation statements)

References 19 publications

(33 reference statements)

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“…Strangulated hernia (which does not respond to manual reduction) needs emergency surgery, even in patients with decompensated liver function [ 372 ]. For patients with preserved liver function, surgical reduction can be considered (even for non-strangulated hernia) to improve quality of life [ 373 , 374 ].…”

Section: Acute Kidney Injury and Hepatorenal Syndromementioning

confidence: 99%

KASL clinical practice guidelines for liver cirrhosis: Ascites and related complications

2018

Clin Mol Hepatol

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Section: Acute Kidney Injury and Hepatorenal Syndromementioning

confidence: 99%

KASL clinical practice guidelines for liver cirrhosis: Ascites and related complications

2018

Clin Mol Hepatol

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“…There is no report in the literature of liver failure related to pneumoperitoneum in a cirrhotic patient [ 34 , 35 ]. Some authors reduce their intra-abdominal pressure in cirrhotic patients [ 36 ]. Bleeding risk There are few reports of bleeding during laparoscopic procedures in cirrhotic patients.…”

Section: Intraoperative Considerationsmentioning

confidence: 99%

Acute care and emergency general surgery in patients with chronic liver disease: how can we optimize perioperative care? A review of the literature

et al. 2018

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The increasing prevalence of advanced cirrhosis among operative candidates poses a major challenge for the acute care surgeon. The severity of hepatic dysfunction, degree of portal hypertension, emergency of surgery, and severity of patients’ comorbidities constitute predictors of postoperative mortality. Comprehensive history taking, physical examination, and thorough review of laboratory and imaging examinations typically elucidate clinical evidence of hepatic dysfunction, portal hypertension, and/or their complications. Utilization of specific scoring systems (Child-Pugh and MELD) adds objectivity to stratifying the severity of hepatic dysfunction. Hypovolemia and coagulopathy often represent major preoperative concerns. Resuscitation mandates judicious use of intravenous fluids and blood products. As a general rule, the most expeditious and least invasive operative procedure should be planned. Laparoscopic approaches, advanced energy devices, mechanical staplers, and topical hemostatics should be considered whenever applicable to improve safety. Precise operative technique must acknowledge common distortions in hepatic anatomy, as well as the risk of massive hemorrhage from porto-systemic collaterals. Preventive measures, as well as both clinical and laboratory vigilance, for postoperative hepatic and renal decompensation are essential.

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“…On the other hand, however, there are many other studies that report satisfactory results of the surgical approach in cirrhotic patients with abdominal wall hernias, comparable in some cases to those of the noncirrhotic patients (8)(9)(10)(11).…”

Section: Discussionmentioning

confidence: 96%

The Current Surgical Managemnt of the Parietal Deffects in Patients with Liver Cirrhosis - Options and Limits. Our Experience and Review of Literature

Banu¹,

Socea²,

Carâp³

et al. 2019

chr

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Introducere: Herniile peretelui abdominal au la pacienţii cu ciroză o prevalenţă semnificativ mai mare faţă de pacienţii non cirotici. Modalitatea de abord chirugical şi momentul operator sunt elemente aflate încă în dezbatere. Material şi metodă: Am analizat retrospectiv cazurile de hernii operate la pacienţi cu ciroză hepatică în Clinica de Chirurgie a Spitalului Clinic "Sf. Pantelimon" din Bucureşti în intervalul Ianuarie 2012-Decembrie 2016. Din fişele de observaţie ale pacienţilor am reţinut analizele de laborator (albuminemie, bilirubinemie, timp de protrombină) şi datele clinice (prezenţa ascitei şi encefalopatiei) care au permis încadrarea conform claselor Child, precum şi date referitoare la tipul herniei, caracterul de urgenţă sau electiv al intervenţiei chirurgicale, tehnica operatorie utilizată şi evoluţia postoperatorie. Analiza statistică s-a făcut pe baza testului chi-pătrat. Rezulate: Dintre cel 65 de hernii operate, 32 au fost ombilicale (49,23%), 18 inghinale (27,69%), 11 incizionale (16,92%) şi 4 epigastrice (6,15%). 29 (44,6%) dintre intervenţii au fost efetuate programat, iar 36 (55,4%) au avut caracter de urgenţă. Încadrarea în grupe Child a fost: 24 (36,92%) Child A, 30 (46,15%) Child B, 11 (16,92%) Child C. Morbiditatea postoperatorie a fost de 11 cazuri pentru Child A (45,83%), 17 pentru Child B (56,66%) şi 9 pentru Child C (81,8%). Mortalitatea a fost 1 caz pentru Child A (4,16%),

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The repair of umbilical hernia in cirrhotic patients: 18 consecutive case series in a single institute

Cited by 24 publications

References 19 publications

KASL clinical practice guidelines for liver cirrhosis: Ascites and related complications

KASL clinical practice guidelines for liver cirrhosis: Ascites and related complications

Acute care and emergency general surgery in patients with chronic liver disease: how can we optimize perioperative care? A review of the literature

The Current Surgical Managemnt of the Parietal Deffects in Patients with Liver Cirrhosis - Options and Limits. Our Experience and Review of Literature

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