Management of Groin Hernias in patients with ascites

Roger D. Hurst, Bryan N. Butler, David I. Soybel, Hastings K. Wright

Research output: Contribution to journalArticle

36 Scopus citations

Abstract

The records of 18 cirrhotic patients with ascites and groin hernias (20 inguinal and one femoral) were retrospectively reviewed. Eleven patients underwent repair of their groin hernias (total of 13 repairs). Ten herniorrhaphies were performed electively, two were performed urgently because of recent difficult reduction, and one was performed emergently for incarceration without strangulation. No major and four minor postoperative complications occurred. There were no perioperative deaths or ascites leaks. Of the 13 hernias in 11 patients undergoing repair, 12 (92%) were available for follow-up. In this group, the 12 groin hernia repairs were followed for a mean of 25 months. One recurrence (8%) occurred 11 months after repair. In this same group of patients, five umbilical hernias were repaired, with three recurrences (60%). From this retrospective study, it appears that serious complications from groin hernias in cirrhotics are not common, and elective repair can usually await control of ascites. Additionally, for appropriately selected patients with ascites, elective inguinal hernia repair can be performed safely, with an acceptable rate of recurrence.

Original languageEnglish (US)
Pages (from-to)696-700
Number of pages5
JournalAnnals of surgery
Volume216
Issue number6
DOIs
StatePublished - Jan 1 1992

All Science Journal Classification (ASJC) codes

  • Surgery

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    Hurst, R. D., Butler, B. N., Soybel, D. I., & Wright, H. K. (1992). Management of Groin Hernias in patients with ascites. Annals of surgery, 216(6), 696-700. https://doi.org/10.1097/00000658-199212000-00013