TY - JOUR
TI - Inguinal Hernias in Cirrhotic Patients: From Diagnosis to Treatment
AU - Kykalos, S.
AU - Machairas, N.
AU - Ntikoudi, E.
AU - Dorovinis, P.
AU - Molmenti, E.P.
AU - Sotiropoulos, G.C.
JO - Surgical Innovation
PY - 2021
VL - 28
TODO - 5
SP - 620-627
PB - SAGE Publications Inc.
SN - 1553-3506, 1553-3514
TODO - 10.1177/1553350621995058
TODO - decision making;  human;  inguinal hernia;  laparoscopy;  liver cirrhosis;  liver transplantation;  mortality rate;  nuclear magnetic resonance imaging;  Review;  surgical technique;  transjugular intrahepatic portosystemic shunt;  abdominal wall hernia;  complication;  herniorrhaphy;  inguinal hernia;  laparoscopy;  liver cirrhosis, Hernia, Abdominal;  Hernia, Inguinal;  Herniorrhaphy;  Humans;  Laparoscopy;  Liver Cirrhosis
TODO - Cirrhosis has a strong association with abdominal wall hernias, especially in the presence of concomitant ascites. Major predisposing factors for hernia formation in this particular group of patients include increased intra-abdominal pressure and decreased muscle mass due to poor nutrition. Management of these patients is highly challenging and requires an experienced multidisciplinary surgical and medical approach. The aim of our review is to clarify crucial diagnostic and management approaches. Crucial medical and technical issues on this topic are widely discussed with special focus on indication, timing, and type of surgical repair, with an additional reference to the actual role of laparoscopy. © The Author(s) 2021.
ER -