Abstract | PURPOSE: METHODS: In the period between 1990 and 2011, all 27 patients with umbilical hernia and liver cirrhosis who underwent hernia correction during liver transplantation were identified in our hospital database. In 17 cases, umbilical hernia repair was performed through a separate infra-umbilical incision (separate incision group) and 10 were corrected from within the abdominal cavity without a separate incision (same incision group). Six patients died during follow-up; no deaths were attributable to intraoperative umbilical hernia repair. All 21 patients who were alive visited the outpatient clinic to detect recurrent umbilical hernia. RESULTS: One recurrent umbilical hernia was diagnosed in the separate incision group (6 %) and four (40 %) in the same incision group (p = 0.047). Two patients in the same incision group required repair of the recurrent umbilical hernia; one of whom underwent emergency surgery for bowel incarceration. The one recurrent hernia in the separate incision group was corrected electively. CONCLUSION:
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Authors | B de Goede, B J H van Kempen, W G Polak, R J de Knegt, J N L Schouten, J F Lange, H W Tilanus, H J Metselaar, G Kazemier |
Journal | Hernia : the journal of hernias and abdominal wall surgery
(Hernia)
Vol. 17
Issue 4
Pg. 515-9
(Aug 2013)
ISSN: 1248-9204 [Electronic] France |
PMID | 23793929
(Publication Type: Comparative Study, Journal Article)
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Topics |
- Abdominal Wound Closure Techniques
- Adult
- Female
- Hernia, Umbilical
(complications, surgery)
- Herniorrhaphy
(methods)
- Humans
- Liver Cirrhosis
(complications, surgery)
- Liver Transplantation
- Male
- Middle Aged
- Recurrence
- Reoperation
- Retrospective Studies
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