Management of spontaneous umbilical hernia disruption in the cirrhotic patient

ABSTRACT

A total of 43 cases of umbilical hernia disruption [39 cases from a review of the literature and four from out hospitals] have been reported in cirrhotic patients with ascites. Umbilical hernia disruption is an unusual but potentially fatal complication of ascites. Operative management of the ruptured, leaking, or ulcerated hernia is clearly indicated-but not necessarily on an emergent basis. The timing of operation depends on the patient's general condition and the degree of hepatic reserve. Repair may be performed urgently or may be delayed in order to correct coagulation defects and fluid and electrolyte abnormalities