To explore the effect of Lichtenstein operation on inguinal hernia patients with decompensated cirrhosis.

The clinical data of 98 cases of inguinal hernia with decompensated cirrhosis treated by Lichtenstein operation from January 2015 to December 2018 in Fuyang Second People's Hospital were analyzed retrospectively.

All the 98 patients completed the operation successfully. The operating time was 40 to 75 minutes, and the average time was (52.55±6.23) minutes; The average hospital stay was (5.89±1.99) days (range from 4 to 14 days). No complications such as mesh infection and ascites leakage were found. Incision fat liquefaction was found in 4 cases, which cured and discharged through appropriate drainage, dressing change and other treatment. 8 cases of scrotal effusion and subcutaneous ecchymosis of incision occurred, and they were absorbed spontaneously. One patient with extensive lower abdominal bleeding and urinary retention, and he was discharged after infusion of fresh plasma, retention of catheterization and infection prevention treatment. After 3 months of follow-up after operation, no recurrence was found, and 4 cases of pain were gradually relieved without special treatment. One case of partial ileal necrosis caused by portal vein thrombosis occurred on the 15th day after surgery, and the patient had the history of splenectomy and pericardial devascularization one year ago. And the patient underwent partial resection of small intestine, thrombolysis, deaggregation and anticoagulation.

Lichtenstein's operation under local anesthesia for inguinal hernia with decompensated cirrhosis is safe, effective and economical, and it is worthy of clinical promotion.