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Novel less Invasive Technique for Management of Incarcerated Umbilical Hernia in Cirrhotic Patients—Case Report Study and Review of the Literature |
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PP: 11-14 |
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Author(s) |
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AbdElrazek M. Ali,
Mohammad A. Nafady,
M. Fakhry,
Khaled Salam,
AbdElhameed Hefny,
Ramy AbdElMasseih,
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Abstract |
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| The optimal management of umbilical hernia in patients with decompensated liver cirrhosis with or without ascites who are
potentially recipients of liver transplant remains a matter of debate and poses unique and specific management problems due to the
pathophysiology of cirrhosis and high post-operative complications. If left untreated, abdominal wall defects in cirrhotic patients may
grow to immense sizes and can be associated with life threatening complications that demand urgent surgical intervention. Hereby the
authors thought to find out a safe minimal invasive procedure which could be alternative to surgery. Here we present our success to
manage such dilemma in 2 decompensated patients awaiting for liver transplantation, presented to our center with incarcerated Paraumbilical
hernia, complete aspiration of the fluid inside the sac was done for those patients- guided ultrasonography. In addition, the
distended intestine inside the sac was deflated, and then the hernias have been reduced completely. Cirrhotic decompensatedpatients with
incarcerated umbilical hernia would be managed safely with that described procedure as an alternative to surgery or/and at least to be a
bridge for later safe elective surgery if indicated after relieve of the intestinal obstruction. |
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