TITLE

Natural History of Repaired Umbilical Hernias in Patients with and without Ascites

AUTHOR(S)
Runyon, Bruce A.; Juler, George L.
PUB. DATE
January 1985
SOURCE
American Journal of Gastroenterology;Jan1985, Vol. 80 Issue 1, p38
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
A retrospective chart review was undertaken to determine the natural history of repaired umbilical hernias in patients with and without a history of ascites. Eighty-five patients underwent umbilical herniorrhaphy during the interval from January 1973 to March 1983. The length of hospital stay was significantly longer for the 22 patients who had a history of ascites; however, the complication rate of elective repair of umbilical hernias that were caused by ascites was not different from that of the 63 patients without a history of ascites. There was no operative mortality in either group. Sixty-eight patients were reevaluated at least 1 month postoperatively. Of the 51 patients who had never had ascites, six (12%) developed a recurrent hernia. Of the 17 patients whose hernias were caused by ascites, eight (47%) developed recurrences. Of the 11 herniorrhaphies performed when ascitic fluid was present, eight (73%) resulted in a recurrence, whereas only one (17%) patient had a recurrence among the group of seven patients who underwent herniorrhaphy at a time when the ascitic fluid was no longer present. Umbilical hernias caused by ascites can be repaired with acceptable morbidity and probably should be repaired after the fluid has been medically removed.
ACCESSION #
16266093

 

Related Articles

  • Evaluation of different techniques in management of Malignant Ascites. singh, Brijesh; Patel, Arun kumar; Patel, Aruna // International Journal of Biological & Medical Research;May2012, Vol. 3 Issue 3, p2236 

    The Present study was done in the Department of Surgery, J.A. Group of Hospitals and C.H.R.I. Gwalior in 40 Patients with malignant ascites in which 16(40%) were male and 24(60%) were female. Mean age was 54 years (Range 17-75yrs.) Out of 40 patients 20 (50%). patient underwent repeated...

  • Incomplete Fixation of the Colon Ascendens and an Unusually Located Peritoneal Fold Together with Direct Inguinal Hernia. Ahmet Kalaycıoğlu; Zeliha Kurtoğlu; Mehmet Çan // Digestive Diseases & Sciences;Nov2008, Vol. 53 Issue 11, p3040 

    Abstract  During abdominal dissection of a male cadaver, aged 60 years at death, a peritoneal fold formed by mesentery of the terminal ileum and attached to the anterior wall was encountered in the abdominal cavity. Distal part of the terminal ileum, cecum, and colon...

  • Umbilical hernia repair in the presence of cirrhosis and ascites: results of a survey and review of the literature. McKay, A.; Dixon, E.; Bathe, O.; Sutherland, F. // Hernia;Oct2009, Vol. 13 Issue 5, p461 

    Umbilical hernias are common in cirrhotics, yet, their management poses several challenges. The objective of this paper was to evaluate the indications, selection criteria, and technical aspects of umbilical hernia repair in patients with cirrhosis and ascites. An extensive review of the...

  • A rare cause of chylous ascites. Chen, Yi-Ting; Chen, Yung-Ming // Clinical Kidney Journal;Feb2014, Vol. 7 Issue 1, p71 

    We report a patient with end-stage renal disease status after two renal transplantations. Milky-like ascites was noted since the immunosuppressant agent was switched to sirolimus (1 mg/day). Chylous ascites was diagnosed owing to the triglyceride of dialysate to serum being 15.98:15.99. Series...

  • Significance of Serum and Ascitic Fluid C-Reactive Protein in Differential Diagnosis of Benign and Malignant Ascites. Yuksel, Ilhami; Karaahmet, Fatih; Coskun, Yusuf; Kılıncalp, Serta; Hamamci, Mevlut; Akinci, Hakan; Ustun, Yusuf; Simsek, Zahide; Erarslan, Elife; Coban, Sahin // Digestive Diseases & Sciences;Oct2014, Vol. 59 Issue 10, p2588 

    Background: The values of C-reactive protein (CRP) can prove useful in determining disease progress. Because of synthesis by the liver, production of CRP in response to inflammation may be attenuated in patients with liver dysfunction. This may result in differences interpreting CRP levels in...

  • Incarcerated inguinal hernia in infants. Sparnon, A.L.; Kiely, E.M.; Spitz, L. // British Medical Journal (Clinical Research Edition);8/9/1986, Vol. 293 Issue 6543, p376 

    Examines the complications of incarcerated inguinal hernia in infants. Occurrence of the disorder during the first six months; Administration of routine inguinal herniotomy; Risks involved in the process.

  • Gangrenous Amyand's hernia in neonate: A great clinical masquerader. Pandey, Vaibhav; Gangopadhyay, Ajar Narayan; Gupta, Dinesh Kumar; Sharma, Shiv Prasad // Open Journal of Pediatrics;Dec2013, Vol. 3 Issue 4, p364 

    Amyand's hernia [AH] is a rare condition with presence of vermiform appendix in an inguinal hernia sac [1]. It is a rare entity with very difficult preoperative diagnosis that does not affect management. We herein report a neonatal gangrenous AH masking all features of underlying bowel gangrene....

  • Metastatic Pancreatic Adenocarcinoma Found Incidentally In A Paraumbilical Hernia Sac. Clarkson, Colin; Pradhan, G. Narsin // Internet Journal of Surgery;2006, Vol. 8 Issue 2, p8 

    This case report describes what we believe to be the first reported case of occult metastatic pancreatic adenocarcinoma being found incidentally in a paraumbilical hernia sac. Following an otherwise uneventful repair of a parumbilical hernia, routine histology showed the sac to contain an...

  • Incarcerated Spigelian Hernia: An Unusual Cause Of Acute Right Iliac Fossa Pain: A Case Study And Literature Review. Bhalla, Ashish; Amin, Hemisha; Parvathareddy, Devi; Bhalla, Vishal // Internet Journal of Surgery;2007, Vol. 12 Issue 1, p5 

    Spigelian Hernias are rare. We present a case of a 57 year old gentleman who presented acutely with an incarcerated spigelian hernia and review the subsequent options for successful treatment.

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics