Cic edizioni internazionali
Il Giornale di Chirurgia

The abdominal wall incisional hernia repair in cirrhotic patients

Original Article, 20 - 23
doi: 11138/gchir/2018.39.1.020
Tag this article
Abstract
Enhanced HTML Full text PDF
Background. The incidence of abdominal wall hernia in cirrhotic patients with ascites is between 20 and 40%. Controversies regarding the treatment modality and surgical timing of abdominal wall incisional hernia repair in cirrhotic patients remain. The study proposed wants to analyze the abdominal incisional hernia repair in cirrhotic patients with ascites performed in a single center to determine post-operative morbidity, mortality and complication rate.
Patients and methods. Cirrhotic patients with abdominal incisional hernia that underwent surgical operation for abdominal wall hernia repair at the “Policlinico Paolo Giaccone” at Palermo University Hospital between January 2015 and December 2016 were identified and the data collected were retrospectively reviewed; patients’ medical and surgical records were collected from charts and the surgical and ICU registries. The degree of hepatic dysfunction was classified using Child-Pugh classification. Post-operative mortality was considered up to 30-days after surgery. A follow-up period of 6 months at least was performed to evaluate hernia recurrence and complications. results. Mortality rate is of 18.5% (p 0.002). Recurrence rate (p 0.004) and seroma formation rate (p 0.001) are most frequent in urgency group. The elevated ASA score and the prediction of a complicated post-operative course is higher in urgency group (p 0.004) as higher is the in-hospital stay (p 0.001) and the ICU stay (p 0.001).
Conclusions. Elective surgery for abdominal wall hernia repair in cirrhotic patients seems to be successful and associated with lower mortality/morbidity rate and recurrence rate than urgency.

Vol. XXXIX (No. 3) 2018 May - June

  1. Comparison of outcomes following intersphincteric resection vs low anterior resection for low rectal cancer: a systematic review
    Ursi P., Santoro A., Gemini A., Arezzo A., Pironi D., Renzi C., Cirocchi R., Di Matteo F.M., Maturo A., D'Andrea V., Sagar J.
    doi: 10.11138/gchir/2017.39.3.123
  2. Enterocutaneous fistula treatment: case report and review of the literature
    Assenza M., Rossi D., De Gruttola I., Ballanti C.
    doi: 10.11138/gchir/2017.39.3.143
  3. 3D MRI segmentation and 3D circumferential resection margin evaluation for a standard rectal cancer assessment
    Lorenzon L., Bini F., Quatrale M., Biondi A., Persiani R., Di Pietropaolo M., Landolfi F., Iannicelli E., Marinozzi F., Balducci G., D'Ugo D.
    doi: 10.11138/gchir/2017.39.3.152
  4. Thyroid neoplasms: surgical and cyto-histopathological connections on a six year cases study
    Fontana T., Izzo M., Venturelli P., Lentini V.L., Falco N., Gulotta L., Florena A.M., Cocorullo G.
    doi: 10.11138/gchir/2017.39.3.158
  5. P-POSSUM score: a prognostic instrument for postoperative complications in Crohn’s disease
    Falco N., Fontana T., Scrivano D., Tutino R., Licari L., Raspanti C., Melfa G.I., Cocorullo G.
    doi: 10.11138/gchir/2017.39.3.166
  6. Papillary thyroid microcarcinoma in super obese patient
    Ruggiero R., Bosco A., Pirozzi R., Bondanese M.C., Gualtieri G., Docimo L.
    doi: 10.11138/gchir/2017.39.3.173
  7. Combined Littre and Richter’s femoral hernia: an extremely rare intra-operative finding
    Ioannidis A., Karanikas I., Koutserimpas C., Velimezis G.
    doi: 10.11138/gchir/2017.39.3.177
  8. Concomitant small cell carcinoma and adenocarcinoma of the gallbladder: a case report
    Tornambè A., Aiello P.S.L., Tornambè G.
    doi: 10.11138/gchir/2017.39.3.181
  9. Small bowel intussusception due to malignant melanoma: primary lesion or metastases? A case report
    De Monti M., Pacchiarini L., Cestaro G., Peloni G., Fasoli F.
    doi: 10.11138/gchir/2017.39.3.184
  10. Three-trocar laparoscopic cholecystectomy under spinal anesthesia in a patient with asthma
    Tatulli F., Delcuratolo A., Caraglia A., Notarnicola A., Carbone F.P.N., Caputi A.
    doi: 10.11138/gchir/2017.39.3.188
Last Viewed articles: la lista degli ultimi x visitati.
  1. The abdominal wall incisional hernia repair in cirrhotic patients
    Licari L., Salamone G., Ciolino G, Campanella S., Parinisi Z., Sabatino C., Carfì F., Bonventre S., Gulotta G.
    doi: 11138/gchir/2018.39.1.020
credits