Progress in the clinical management of cirrhotic ascites combined with inguinal hernia

doi:10.3877/cma.j.issn.1674-392X.2023.02.001

Abstract

Abstract:

For patients with inguinal hernia with cirrhosis ascites, adopting strict perioperative treatment, including ascites control, nutritional support, protecting liver function, adjusting coagulation function, and preventing infection, etc., and then elective no tension inguinal hernia repair for safe and effective treatment, can significantly improve the quality of life of patients, among which, effective ascites control is the key to successful surgery. Child-Pugh grade C is no longer an absolute surgical contraindication because local anesthesia has rendered it no longer a surgical contraindication. Patients with inguinal hernia, cirrhosis, and ascites should have more aggressive surgical therapy due to the greatly increased risk of complications and mortality associated with emergency surgery.

Key words: Hernia, inguinal, Liver cirrhosis, Ascites, Treatment

Xiaobei Zhang, Dong Cao, Baoshun Yang, Yongjiang Yu. Progress in the clinical management of cirrhotic ascites combined with inguinal hernia[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2023, 17(02): 121-124.

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