Inguinal Hernia Liver Cirrhosis
I have cirrhosis and a hernia.
Inguinal hernia liver cirrhosis. A retrospective analysis of the medical records of 22 adult patients who complained of inguinal pain or discomfort and treated surgically by a single surgeon for inguinal hernia at our medical institution from january 2002 to august 2009 was performed to evaluate age gender cause of liver cirrhosis severity of liver cirrhosis clinical laboratory findings underlying diseases. 3 weeks after my surgery i had ruptured esophageal varices and had to be in the hospital in an emergency. Several recent studies have demonstrated the usefulness of elective surgery. A retrospective review of a prospectively maintained database of 31 patients with liver cirrhosis undergoing inguinal hernia repair between 2006 and 2016 was undertaken.
A surgical approach was originally performed only if complication signs and symptoms occurred. Cirrhotic patients with abdominal hernia who underwent surgical. A cohort study of 67 cirrhotic patients who underwent hernia repair during the period of january 1998 december 2009 at the university hospital of sao. The optimal surgical management strategy as well as timing of abdominal hernia repair remains controversial.
Who underwent inguinal hernia repair before during or after liver transplantation. Myers md of the university of pittsburgh and her coauthors adding that there is however convincing evidence to advocate for elective ventral umbilical or inguinal hernia repair in compensated cirrhosis. The incidence rate of abdominal wall hernia is 20 40 in cirrhotic patients. Data in relation.
I knew i had liver disease but everything was within normal range. Certainly the risk inherent in advanced cirrhosis is much greater than the risk after liver transplantation even in the presence of immunosuppressive therapy. During recent decades the indications for surgical timing have changed. Patients with cirrhosis have a high incidence of abdominal wall hernias and carry an elevated perioperative morbidity and mortality.
I actually had a hernia repaired surgically in may 2011. The refractory ascites comorbidity low albumin level prolonged thromboplastin time operation time and emergent surgery were significantly associated with complications. They found less morbidity and fewer recurrences in patients operated after transplantation. Hernia is known to be more frequent among patients with cirrhosis of the liver especially with ascites than among those without liver disease.
I have a patient with newly diagnosed compensated liver failure ascites controlled with diuretic therapy child s class a and an inguinal hernia that is symptomatic. Hernia management in cirrhosis continues to be restricted by lack of high quality evidence and heterogeneity in expert opinion wrote lead author sara p.