Evaluation of Surgical Techniques in Cirrhotic Patients With Ventral Hernias

Completed

• Conditions: Ventral Hernias in Cirrhotic Patients
• Interventions: Procedure: hernia repair

• Registration Number: NCT04726644
• Lead Sponsor: Assiut University

Brief Summary

ventral hernias are defects of the anterior abdominal wall, which can be congenital or acquired including epigastric, umbilical and incisional hernia. Umbilical hernias represent a common surgical problem in cirrhotic patient with ascites with 20% incidence. This work was deigned to assess outcome of different techniques of closure of ventral hernias in cirrhotic patients.

Detailed Description

Ventral hernias are defects of the anterior abdominal wall, which can be congenital or acquired including epigastric, umbilical and incisional hernia. Incisional ventral hernia is a frequent complication of laparotomy that occurs in up to 11 % of surgical abdominal wounds

Umbilical hernia represent a common surgical problem in cirrhotic patient with ascites with 20% incidence.Factors that play role in occurance of umbilical hernia in cirrhotic patient with ascites patients is chronic increased intra-abdominal pressure, recanalization of the left umbilical vein, muscle wasting and fascial weakening from nutritional deficiencies (3,4).

Most of interventions for umbilical herniorrhaphy in cirrhotic patients with ascites done in emergency setting due to the concept of high perioperative morbidity and mortality rates in those patients. However, this strategy leads to a high risk of life-threatening complications such as incarceration and skin rupture.

Study Timeline

• Study Start: 2017-01-01
• Primary Completion: 2018-12-12
• Study Completion: 2018-12-12
• Status Verified: 2021-01
• Study First Submitted: 2021-01-23
• Study First Submitted QC: 2021-01-23
• Last Update Submitted: 2021-01-23
• Study First Posted: 2021-01-27
• Last Update Posted: 2021-01-27

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 148

Inclusion Criteria

• all cirrhotic patients with ventral hernia

Exclusion Criteria

• hepatic encephalopathy

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
patients	hernia repair	cirrhotic patients with ventral hernia

Primary Outcome Measures

Name	Time	Method
ventral hernia repair	Baseline	different technique for repair of ventral hernia