A case of hepatic cirrhosis combined with ascites and incarcerated hernia by preperitoneal approach repair through hernia sac top pathway
DOI:
https://doi.org/10.18203/2349-2902.isj20160262Keywords:
Hernia sac top, Incarcerated hernia, Cirrhosis, Refractory ascitesAbstract
The incidence of hernia is increased in patients with hepatic cirrhosis with ascites. But inguinal hernia with ascites is considered as surgical contraindication. Because there are many complications after surgery, such as hernia recurrence, feeling of swell in reparative area, incision fluid effusion. We report an 85 year-old Chinese male who presented to the emergency department with incarcerated inguinal hernia 9 hours. An urgent preperitoneal hernia repair by Hernia Sac Top pathway was performed. The surgery was successful and there were no complications occurred after the patient followed up 16 months. The novel approach was reliable and valuable. The report of the new approach should be encouraged.
References
Cavazzola LT, Rosen MJ. Laparoscopic versus open inguinal hernia repair. Surg Clin North Am. 2013;93(5):69-79.
Coskun F, Ozmen MM, Moran M, Ozozan O. New technique for inguinal hernia repair. Hernia. 2005;9:32-6.
Stoppa R, Hee RV. Surgical anatomy of the groin region.Acta Chir Belg. 1998,98:124-8.
Lichtenstein IL, Shulman AG, Amid PK. The tension-free hernioplasty. Am J Surg. 1989;157(2):188-93.
Lichtenstein IL. Herniorrhapy: a personal experience with 6,321 cases. Am J Surg. 1987;153:553-9.
Jia Z, He GH. Inguinal hernioplasty in patients with liver cirrhosis accompanied by ascites. Bull Med Res. 2005;34(12):23-4.
Cavazzola LT, Rosen MJ. Laparoscopic versus open inguinal hernia repair. Surg Clin North Am. 2013,93(5):69-79.
Odom SR, Gupta A. Emergency hernia repair in cirrhotic patients with ascites. J Trauma Acute Care Surg. 2013,75(3):404-9.