Abdominal wall hernia repair in cirrhotic patients: outcomes seen at a tertiary care hospital in a developing country.
The outcome of hernia repair in patients with cirrhosis remains poor when compared to non-cirrhotics. The aim of our study was to evaluate the outcome of hernia repair in cirrhotic patients at our tertiary care hospital located in a developing country. A total of 61 patients with cirrhosis underwent hernia repair from January 2001 to December 2007 at our hospital. The mean age of the patients was 52 years and there were 30 males. Early postoperative complications were noted in 20 (33%) patients including two mortalities. The incidence of early complications was higher (71%) in patients with Child class C cirrhosis as compared to patients with either Child class A or B cirrhosis (21%), and the difference was statistically significant (P < 0.001). Except in emergency circumstances, surgery in Child class C patients may either be delayed until the patient is medically optimized or performed early before liver disease progresses to severe decompensation.
Aga Khan University & Hospital, Department of Surgery, Stadium Road, P.O. Box 3500, Karachi 74800, Pakistan. doctormrkhan@yahoo.com
Muhammad Rizwan
MR
Khan
Mahwash
M
Kassi
Sahar Ashraf
SA
Janjua
D000328:Adult; D003906:Developing Countries; D005260:Female; D046449:Hernia, Abdominal / Q000150:complications / Q000601:surgery*; D006761:Hospitals; D006801:Humans; D015994:Incidence; D008103:Liver Cirrhosis / Q000150:complications*; D008297:Male; D008875:Middle Aged; D010154:Pakistan / Q000453:epidemiology; D011183:Postoperative Complications / Q000453:epidemiology* / Q000401:mortality; D013526:Surgical Mesh / Q000706:statistics & numerical data; D013997:Time Factors; D016896:Treatment Outcome