[Umbilical and inguinal hernioplasty in cirrhotic patients].
The overall results of surgical treatment of abdominal wall hernias in patients with hepatic cirrhosis were assessed by a retrospective study in 41 cirrhotic patients. They underwent 22 umbilical and 22 inguinal herniorrhapies between 1982 and 1992. Sixteen patients were classified as Child-Pugh A, 16 as B and 9 as C. Clinical evidence of ascitis was documented in 19 patients. The operative mortality was 5% (two Child-Pugh C cases). Postoperative complications occurred in 10 patients, most of them related to the surgical wound. We recommend herniorraphy in symptomatic cirrhotic patients but with fairly good hepatic function.
Zepeda
R
R
Departamento de Cirugía, Instituto Nacional de la Nutrición Salvador Zubirán, Tlalpan, México, D.F. México.
Herrera
M F
MF
Mercado
M A
MA
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006552:Hernia, Inguinal / Q000150:complications / Q000601:surgery*; D006554:Hernia, Umbilical / Q000150:complications / Q000601:surgery*; D006801:Humans; D008103:Liver Cirrhosis / Q000150:complications*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies
Hernioplastías umbilical e inguinal en pacientes cirróticos.