Abstract
Tension-free herniorraphies were carried out using either the Mesh Plug repair (M-P) or Perfix plug technique (P-P) in four patients with cirrhosis. Three patients had a lateral inguinal hernia, and the other had bilateral inguinal and femoral hernias. The patients’ ages ranged from 55 to 80 years. The Child-Pugh classifications showed that one was A, two were B, and one was C. The main complaint in two patients was a difficult reduction and the others had discomfort. An M-P was performed in the three patients with inguinal hernias and an M-P was performed for the femoral hernias and a P-P for the inguinal hernias in the patient with both inguinal and femoral hernias. Two patients had fluid collection under the incision and one of them required a single puncture. However, the others had no related complications after the operation. One patient died due to liver failure without recurrence of the groin hernias 31 months after the operation. The others had no recurrence and no related symptoms from 5 to 52 months after the operation.
Similar content being viewed by others
References
Hurst RD, Butler B, Soybel DI, Mright HK. Management of groin hernias in patients with ascites. Ann Surg 1992;7:696–700.
Pere P, Hockerstedt K, lindgren L. Life-threatening liver failure after inguinal herniorrhaphy in patients with cirrhosis. Eur J Surg 1999;165:1000–1002.
Hansen JB, Thulstrup AM, Vilstup H, Sorensen HT. Danish nationwide cohort styudy of postoperative death in patients with liver cirrhosis undergoing hernia repair. Br J Surg 2002;89:805–806.
Franzetta M, Raimondo D, Giammanco M, Di Trapani B, Passariello P, Sammartano A, et al. Prognostic factors of cirrhotic patients in extra-hepatic surgery. Minerva Chir 2003;58:541–544.
Park JK, Lee SH, Yoon WJ, Lee JK, Park SC, Park BJ, et al. Evaluation of hernia repair operation in Child-Turcotte-Pugh class C cirrhosis and refractory ascites. J Gastroenterol Hepatol 2007;22:377–382.
Bringman S, Ramel S, Nyberg B, Anderberg B. Introduction of herniorraphy with mesh plug and patch. Eur J Surg 2000;166:310–312.
Carbonell AM, Wolfe LG, DeMaria EJ. Poor outcome in cirrhosis-associated hernia repair: a nationwide cohort study of 32,033 patients. Hernia 2005;9:353–357.
Belgiti J, Durand F. Abdominal wall hernias in the setting of cirrhosis. Semin Liver Dis 1997;17:219–226.
Rutkow IM, Robbins AW. “Tension-free” inguinal herniorrhaphy: a preliminary report on the “mesh-plug” technique. Surgery 1993;114:3–8.
Hachisuka T, Nakayama H, Shibata A, Miyauchi M, Imamura Y, Misawa K, et al. Mesh plug repair for a small incisional hernia in a cirrhotic patient with ascites:report of a case. Surg Today 1998;28:657–658.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Inagaki, M., Goto, J., Okayama, T. et al. “Tension-free” herniorrhaphy for groin hernias in patients with cirrhosis: Report of four cases. Surg Today 39, 540–543 (2009). https://doi.org/10.1007/s00595-008-3872-x
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00595-008-3872-x