General Surgery Department, Theodor Bilharz Research Institute, Giza 12411, Egypt.
Hepatogastroenterology Department, Theodor Bilharz Research Institute, Egypt.
Int J Surg. 2014;12(2):181-5. doi: 10.1016/j.ijsu.2013.12.009. Epub 2013 Dec 28.
Umbilical hernia repair is often accompanied by complications in patients with liver cirrhosis and ascites. It appears that the early elective repair of umbilical hernias in these patients is safer and can be considered for selected patients. The objective of this study is to evaluate the feasibility, safety, complications and technical aspects of sublay mesh repair of umbilical hernia in cirrhotic patients with ascites.
Between October 2010 and April 2013, 70 patients with non-complicated umbilical hernia, liver cirrhosis and ascites were enrolled in this study. All patients underwent sublay mesh repair. Demographic data, preoperative variables, peri-operative course, and postoperative complications were recorded and analyzed.
A total of 38 women and 32 men underwent operation at an average age 51.24 years. The patients mean MELD score was 18 (range 12-25). The mean operative time was 67.45 min and the average hospital stay was 3.8 days. 2 patients had wound infection, 3 patients developed seroma and 1 patient had an ascitic fistula. Recurrence occurred in 1 (1.4%) patient and no mortality related to the procedure.
elective sublay umbilical hernia mesh repair is a safe approach and feasible technique in selected non-complicated cirrhotic patients with ascites.
脐疝修补术常伴有肝硬化和腹水患者的并发症。对于这些患者，早期选择性地进行脐疝修补似乎更安全，对于某些特定患者可考虑这种方法。本研究的目的在于评估在伴有腹水的肝硬化患者中行腹腔内修补术治疗脐疝的可行性、安全性、并发症和技术方面的问题。
2010 年 10 月至 2013 年 4 月，我们对 70 例非复杂性脐疝、肝硬化和腹水患者进行了研究，所有患者均行腹腔内修补术。记录并分析了患者的人口统计学数据、术前变量、围手术期情况和术后并发症。
共 38 例女性和 32 例男性，平均年龄为 51.24 岁。患者的平均 MELD 评分为 18 分（范围 12-25 分）。平均手术时间为 67.45 分钟，平均住院时间为 3.8 天。2 例患者发生伤口感染，3 例患者发生血清肿，1 例患者发生腹水漏。1 例（1.4%）患者复发，无与手术相关的死亡病例。
对于非复杂性肝硬化伴腹水患者，选择性地行腹腔内修补术治疗脐疝是一种安全可行的方法。
