Home Current issue Ahead of print Search About us Editorial board Archives Submit article Instructions Subscribe Contacts Login 
Year : 2020  |  Volume : 39  |  Issue : 2  |  Page : 498-504

A new modified technique in complicated umbilical hernia repair in patients with decompensated cirrhosis: a single center Experience

1 Department of Hepatopancreaticobiliary& Liver Transplant Surgery, National Liver Institute, Menoufia University, Shebin El-koom, Menoufia, Egypt
2 Department of Surgical Oncology, Tanta University, Tanta, Egypt
3 Department of Anaesthesia, National Liver Institute, Menuofia University, Menuofia, Egypt

Correspondence Address:
MD Taha Yassein
Department of Surgery, National Liver Institute, Menoufia University, Shebin El-Koom, Menoufia 32511
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ejs.ejs_18_20

Rights and Permissions

Background Patients with decompensated cirrhosis have a high incidence of abdominal wall hernias with a poor outcome after surgical management. Aim The aim was to evaluate the outcome of a new technique in the repair of complicated umbilical hernias in patients with decompensated cirrhosis. Patients and methods In all, 30 consecutive patients with decompensated cirrhosis underwent herniorrhaphy for complicated hernia and were randomized into two groups: group I (n=15) received the new technique: three-transverse-layer technique with regular paracentesis, first, 5–7 interrupted sutures without tie; second, continuous suture starting 3 cm lateral to the angles, third, tie the previous interrupted suture over the continuous tied suture, fourth, the third layer continuous suture to invaginate the previous sutures (using Proline 1/0 at all), fifth, regular paracentesis. Group II (n=15) received two continuous transverse-layer repair, first, suture started 1 cm lateral to the angle and then completed in a continuous manner till 1 cm after the second angle and tied; second, this was then followed by the second layer continuous suture to invaginate the previous sutures. Results Postoperatively, there were complications in 14 (46.67%) patients in the form of wound infection in three (20%) patients in group I and seven (46.67%) patients in group II with no statistical significance between both groups. Wound dehiscence occurred in five (33.33%) patients in group II only with statistical significance between both groups (P<0.05). Wound leakage also occurred in eight (53.33%) patients of group II with statistical significance between both groups (P<0.05). During the follow-up after 6 months and 1 year, the overall recurrence showed statistical significance regarding the new modified technique. Conclusion The new technique of hernia repair in patients with decompensated liver cirrhosis was associated with a significant reduction in wound ascitic leak, wound dehiscence, hospital stay, morbidity, and recurrence.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded65    
    Comments [Add]    

Recommend this journal