Inguinal Hernias in Cirrhotic Patients: From Diagnosis to Treatment

被引：0

作者：

Kykalos, Stylianos ^{[1
]}

Machairas, Nikolaos ^{[1
]}

Ntikoudi, Evangelia ^{[2
]}

Dorovinis, Panagiotis ^{[1
]}

Molmenti, Ernesto P. ^{[3
]}

Sotiropoulos, Georgios C. ^{[1
]}

机构：

[1] Natl & Kapodistrian Univ Athens, Laiko Gen Hosp, Med Sch Athens, Dept Propaedeut Surg, Athens, Greece

[2] Sismanoglio Gen Hosp, Emergency Dept, Athens, Greece

[3] Zucker Sch Med Hofstra Northwell, Dept Surg, New York, NY USA

来源：

SURGICAL INNOVATION | 2021年 / 28卷 / 05期

关键词：

inguinal hernia; ascites; cirrhosis; portal hypertension; surgical repair; ABDOMINAL-WALL HERNIAS; UMBILICAL HERNIA; LIVER-CIRRHOSIS; GROIN HERNIA; REPAIR; MANAGEMENT; GUIDELINES; HERNIORRHAPHY; HERNIOGRAPHY; ASCITES;

D O I：

10.1177/1553350621995058

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Cirrhosis has a strong association with abdominal wall hernias, especially in the presence of concomitant ascites. Major predisposing factors for hernia formation in this particular group of patients include increased intra-abdominal pressure and decreased muscle mass due to poor nutrition. Management of these patients is highly challenging and requires an experienced multidisciplinary surgical and medical approach. The aim of our review is to clarify crucial diagnostic and management approaches. Crucial medical and technical issues on this topic are widely discussed with special focus on indication, timing, and type of surgical repair, with an additional reference to the actual role of laparoscopy.

引用

页码：620 / 627

页数：8

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