Management of uncommon hernias in cirrhotic patients.
BACKGROUND
Abdominal hernias are a common disease among cirrhotic patients, because of malnutrition and persistently high intra-abdominal pressure due to ascites. When tense ascites is present, life-threatening complications are likely to occur. In such cases, the morbidity and mortality rates are high.


OBJECTIVE
We describe 3 cirrhotic patients with rare complicated hernias that needed surgical repair. We discuss optimal timing for surgical approaches and the necessity of ascites control before surgery, as well as the technical details of the procedures.


METHODS
Review of hospital charts of selected rare cases of herniae in cirrhotic patients.


CONCLUSIONS
Elective surgical approaches can treat even uncommon hernias in cirrhotic patients with good results.
Andraus
W
W
Department of Gastroenterology, Sao Paulo University School of Medicine, Sao Paulo, Brazil.
Sepulveda
A
A
Pinheiro
R S N
RS
Teixeira
A R
AR
D'Albuquerque
L A C
LA
D017558:Elective Surgical Procedures; D046449:Hernia, Abdominal / Q000150:complications* / Q000601:surgery*; D006801:Humans; D008103:Liver Cirrhosis / Q000150:complications*