Tropical Doctor > Tropical Doctor Online First > 10.1258/td.2009.090099

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Article

Abdominal wall hernia repair in cirrhotic patients: outcomes seen at a tertiary care hospital in a developing country

Muhammad Rizwan Khan    Mahwash Kassi   Sahar Ashraf Janjua

Aga Khan University, Department of Surgery, Karachi, Pakistan

Correspondence to: Muhammad Rizwan Khan, Aga Khan University & Hospital, Department of Surgery, Stadium Road, P.O. Box 3500, Karachi 74800, Pakistan Email: doctormrkhan{at}yahoo.com

The outcome of hernia repair in patients with cirrhosis remains poor when compared to non-cirrhotics. The aim of our study was to evaluate the outcome of hernia repair in cirrhotic patients at our tertiary care hospital located in a developing country. A total of 61 patients with cirrhosis underwent hernia repair from January 2001 to December 2007 at our hospital. The mean age of the patients was 52 years and there were 30 males. Early postoperative complications were noted in 20 (33%) patients including two mortalities. The incidence of early complications was higher (71%) in patients with Child class C cirrhosis as compared to patients with either Child class A or B cirrhosis (21%), and the difference was statistically significant (P < 0.001). Except in emergency circumstances, surgery in Child class C patients may either be delayed until the patient is medically optimized or performed early before liver disease progresses to severe decompensation.

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