Results of repair of spontaneously ruptured umbilical hernia in cirrhotic patients with ascites

ABSTRACT

The aim of this work was to revise the results of the repair of spontaneously ruptured umbilical hernia in cirrhotic patients using prolene mesh only on urgent bases and to compare it to the results of other works dealing with the same complication in umbilical hernia using the same or other techniques. The study included 21 patients, 17 males and four females with ages ranging between 35 and 67 years [average 52 years] complaining of longstanding history of chronic liver disease with ascites. All the patients were rapidly prepared and operated upon immediately by hernioplasty using prolene mesh. There were two deaths of liver cell failure, one patient passed into hepatic encephalopathy from which he recovered after intensive medical therapy and three patients had wound infection which were managed by repeated culture and sensitivity with giving the proper antibiotic and frequent dressings. Follow up period from one month to 1.5 years revealed no recurrences. The use of hernioplasty as an emergency procedure in ruptured umbilical hernia in cirrhotic patients with ascites gives the same results as regard the mortality and the morbidity