Surgery
Volume 148, Issue 3 , Pages 538-543 , September 2010

Complicated hernia presentation in patients with advanced cirrhosis and refractory ascites: Management and outcome

  • Dana A. Telem, MD

      Affiliations

    • Division of General Surgery, Department of Surgery, The Mount Sinai Hospital, New York, NY
    • ,
  • Thomas Schiano, MD

      Affiliations

    • Recanati Miller Transplant Institute, Division of Liver Diseases, The Mount Sinai Hospital, New York, NY
    • ,
  • Celia M. Divino, MD

      Affiliations

    • Division of General Surgery, Department of Surgery, The Mount Sinai Hospital, New York, NY
    • Corresponding Author InformationReprint requests: Celia M. Divino, MD, Chief, Division of General Surgery, Department of Surgery, The Mount Sinai Medical Center, 5 E 98th Street, Box 1259, 15th Floor, New York, NY 10029.

,Accepted 11 January 2010.

References 

  1. Belghiti J, Durand F. Abdominal wall hernias in the setting of cirrhosis. Semin Liver Dis. 1997;17:219–226
  2. Baron HC. Umbilical hernia secondary to cirrhosis of the liver. Complications of surgical correction. N Engl J Med. 1960;27:824–828
  3. Shlomovitz E, Quan D, Etemad-Rezai R, McAlister VC. Association of recanalization of the left umbilical vein with umbilical hernia in patients with liver disease. Liver Transpl. 2005;11:1298–1299
  4. Marsman HA, Heisterkamp J, Halm JA, Tilanus HW, Metselaar HJ, Kazemier G. Management in patients with liver cirrhosis and an umbilical hernia. Surgery. 2007;142:372–375
  5. Lemmer JH, Strodel WE, Knol JA, Eckhauser FE. Management of spontaneous umbilical hernia disruption in the cirrhotic patient. Ann Surg. 1983;198:30–34
  6. Lake JR. The role of transjugular portosystemic shunting in patients with ascites. N Engl J Med. 2000;342:1745–1747
  7. Leonetti JP, Aranha GV, Wilkinson WA, Stanley M, Greenlee HB. Umbilical herniorrhaphy in cirrhotic patients. Arch Surg. 1984;119:442–445
  8. Rössle M, Ochs A, Gülberg V, Siegerstetter V, Holl J, Deibert P, et al. A comparison of paracentesis and transjugular intrahepatic portosystemic shunting in patients with ascites. N Engl J Med. 2000;342:1701–1707
  9. Fagan SP, Awad SS, Berger DH. Management of complicated umbilical hernias in patients with end-stage liver disease and refractory ascites. Surgery. 2004;135:679–682
  10. Gray SH, Vick CC, Graham LA, Finan KR, Neumayer LA, Hawn MT. Umbilical herniorrhapy in cirrhosis: improved outcomes with elective repair. J Gastrointest Surg. 2008;12:675–681
  11. Ginsburg BY, Sharma AN. Spontaneous rupture of an umbilical hernia with evisceration. J Emerg Med. 2006;30:155–157
  12. Arroyo V, Ginès P, Gerbes AL, Dudley FJ, Gentilini P, Laffi G, et al. Definition and diagnostic criteria of refractory ascites and hepatorenal syndrome in cirrhosis. Hepatology. 1996;23:164–176
  13. Social Security Death Index [database online]. Washington, DC: United States Social Security Administration; 2008;Updated May 27, 2009
  14. Pérez-Ayuso RM, Arroyo V, Planas R, Gaya J, Bory F, Rimola A, et al. Randomized comparative study of efficacy of furosemide versus spironolactone in nonazotemic cirrhosis with ascites. Relationship between the diuretic response and the activity of the renin-aldosterone system. Gastroenterology. 1983;84:961–968
  15. Stanley MM, Ochi S, Lee KK, Nemchausky BA, Greenlee HB, Allen JI, et al. Peritoneovenous shunting as compared with medical treatment in patients with alcoholic cirrhosis and massive ascites. Veterans Administration Cooperative Study on Treatment of Alcoholic Cirrhosis with Ascites. N Engl J Med. 1989;321:1632–1638
  16. Azoulay D, Buabse F, Damiano I, Smail A, Ichai P, Dannaoui M, et al. Neoadjuvant transjugular intrahepatic portosystemic shunt: a solution for extrahepatic abdominal operation in cirrhotic patients with severe portal hypertension. J Am Coll Surg. 2001;193:46–51
  17. Rössle M, Ochs A, Gülberg V, Siegerstetter V, Holl J, Deibert P, et al. A comparison of paracentesis and transjugular intrahepatic portosystemic shunting in patients with ascites. N Engl J Med. 2000;342:1701–1707
  18. Ginès P, Titó L, Arroyo V, Planas R, Panés J, Viver J, et al. Randomized study of therapeutic paracentesis with and without intravenous albumin in cirrhosis. Gastroenterology. 1988;94:1493–1502
  19. Sanyal AJ, Genning C, Reddy RK, Wong F, Kowdley K, Benner K, et al. North American Study for the Treatment of Refractory Ascites Group. The North American Study for the Treatment of Refractory Ascites. Gastroenterology. 2003;124:634–641

PII: S0039-6060(10)00012-7

doi: 10.1016/j.surg.2010.01.002

Surgery
Volume 148, Issue 3 , Pages 538-543 , September 2010

Article Tools

* Image Usage & Resolution