Longterm outcomes of umbilical hernia repair in cirrhotics / 中华普通外科杂志

ABSTRACT

Objective To evaluate umbilical hernia repair in cirrhotic patients.Methods Clinical data of 65 cirrhotics undergoing umbilical hernia repair from Jan 2009 to Dec 2015 were retrospectively analyzed.Results 32 cases underwent emergency surgery,2 cases were complicated with incision infection,2 cases suffered from hepatic encephalopathy.34 cases underwent elective surgery,1 case had incision hematoma but there was no incision complication in the 13 patients with mesh repair.All cases were cured,and no patient died in 30 days after the operation.The median follow-up time was 31 months and the mortality rate was 51.6％,and 3 cases were lost to follow up.Recurrence developed in 3 cases,the recurrence rate was 4.8％.One-year mortality rate was 32.3％ in emergency patients and 16.1％ in elective patients.Conclusions The elective surgery has less complication and low mortality rate compared with emergency operation.Polypropylene mesh repair for umbilical hernia complicated with cirrhosis is safe.Long term survival is dependent on the progress of liver cirrhosis.