title: Outcome of sublay mesh repair in non-complicated umbilical hernia with liver cirrhosis and ascites.
abstract: BACKGROUND
  Umbilical hernia repair is often accompanied by complications in patients with liver cirrhosis and ascites. It appears that the early elective repair of umbilical hernias in these patients is safer and can be considered for selected patients. The objective of this study is to evaluate the feasibility, safety, complications and technical aspects of sublay mesh repair of umbilical hernia in cirrhotic patients with ascites.
  
  
  METHODS
  Between October 2010 and April 2013, 70 patients with non-complicated umbilical hernia, liver cirrhosis and ascites were enrolled in this study. All patients underwent sublay mesh repair. Demographic data, preoperative variables, peri-operative course, and postoperative complications were recorded and analyzed.
  
  
  RESULTS
  A total of 38 women and 32 men underwent operation at an average age 51.24 years. The patients mean MELD score was 18 (range 12-25). The mean operative time was 67.45 min and the average hospital stay was 3.8 days. 2 patients had wound infection, 3 patients developed seroma and 1 patient had an ascitic fistula. Recurrence occurred in 1 (1.4%) patient and no mortality related to the procedure.
  
  
  CONCLUSIONS
  elective sublay umbilical hernia mesh repair is a safe approach and feasible technique in selected non-complicated cirrhotic patients with ascites.
authors.affiliation: General Surgery Department, Theodor Bilharz Research Institute, Giza 12411, Egypt. Electronic address: ahmedelmaghney@yahoo.com.
authors.forename: Ahmed Mohamed Abdelaziz
authors.initials: AM
authors.lastname: Hassan
authors.affiliation: General Surgery Department, Theodor Bilharz Research Institute, Giza 12411, Egypt. Electronic address: asaadfayrouz@live.com.
authors.forename: Asaad Fayrouz
authors.initials: AF
authors.lastname: Salama
authors.affiliation: General Surgery Department, Theodor Bilharz Research Institute, Giza 12411, Egypt. Electronic address: hamdy.hussam@gmail.com.
authors.forename: Hussam
authors.initials: H
authors.lastname: Hamdy
authors.affiliation: General Surgery Department, Theodor Bilharz Research Institute, Giza 12411, Egypt. Electronic address: magdyelsebae@hotmail.com.
authors.forename: Magdy Mohamed
authors.initials: MM
authors.lastname: Elsebae
authors.affiliation: Hepatogastroenterology Department, Theodor Bilharz Research Institute, Egypt. Electronic address: aymanaaaziz@yahoo.com.
authors.forename: Ayman Mohamed
authors.initials: AM
authors.lastname: Abdelaziz
authors.affiliation: Radiology Department, Cairo University, Kasr El Ainy Hospitals, Cairo, Egypt. Electronic address: wessamzayat@yahoo.com.
authors.forename: Wessam Abdelrahman
authors.initials: WA
authors.lastname: Elzayat
mesh_terms: D000328:Adult; D001201:Ascites / Q000150:complications*; D005260:Female; D006554:Hernia, Umbilical / Q000150:complications* / Q000601:surgery*; D059685:Herniorrhaphy / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D008103:Liver Cirrhosis / Q000150:complications*; D008297:Male; D008875:Middle Aged; D013526:Surgical Mesh; D016896:Treatment Outcome
keywords: Ascites; Sublay mesh repair; Umbilical hernia