Inguinal hernia repair in patients with liver cirrhosis accompanied by ascites
허영회, 김정철, 김동의, 김신곤, 박찬용,
소속 상세정보
허영회 ( Hur Young-Hoe )
Chonnam National University Medical School Department of Surgery
김정철 ( Kim Jung-Chul )
Chonnam National University Medical School Department of Surgery
김동의 ( Kim Dong-Yi )
Chonnam National University Medical School Department of Surgery
김신곤 ( Kim Shin-Kon )
Chonnam National University Medical School Department of Surgery
박찬용 ( Park Chan-Yong )
Chonnam National University Medical School Department of Surgery
KMID : 0371320110800060420
Abstract
Purpose: We describe the clinical characteristics and assess the outcomes and stability of inguinal hernia repair under local anesthesia for patients with liver cirrhosis accompanied by ascites.
Methods: We retrospectively reviewed the medical records of 22 patients with cirrhosis and ascites who underwent mesh plug hernia repair performed by a single surgeon from January 2002 to August 2009, and the clinical characteristics and outcomes of the patients were analyzed.
Results: Twenty-two patients were included in the study. Fifteen (68.2%) were Child’s class B and seven (31.8%) were Child’s class C. Hernia repairs were successful without major complications or recurrence in all patients. Minor complications occurred in only three patients, consisting of two hematomas and one case of scrotal swelling. Complications were resolved spontaneously without the need for blood transfusion or reintervention. Thirteen patients died during follow-up (59.1%); eight of these patients died within 1 year after hernia repair. However, there was no 30-day postoperative mortality. Five of the eight patients who died were Child’s class B and the remaining three patients were Child’s class C. Deaths were all related to cirrhotic complications, and there was no operation-related mortality
Conclusion: Inguinal hernia repairs under local anesthesia in patients with cirrhosis accompanied by ascites were performed safely and effectively. Therefore, surgical repair is recommended even in patients with refractory ascites and poor hepatic function to prevent life-threatening complications or severe pain and improve quality of life.
키워드
Inguinal hernia repair; Local anesthesia; Liver cirrhosis; Ascites
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