지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2011.6
- 수록면
- 420 - 425 (6page)
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초록· 키워드
오류제보하기
Purpose: We describe the clinical characteristics and assess the outcomes and stability of inguinal hernia repair under local anesthesia for patients with liver cirrhosis accompanied by ascites. Methods: We retrospectively reviewed the medical records of 22 patients with cirrhosis and ascites who underwent mesh plug hernia repair performed by a single surgeon from January 2002 to August 2009, and the clinical characteristics and outcomes of the patients were analyzed. Results: Twenty-two patients were included in the study. Fifteen (68.2%) were Child’s class B and seven (31.8%) were Child’s class C. Hernia repairs were successful without major complications or recurrence in all patients. Minor complications occurred in only three patients, consisting of two hematomas and one case of scrotal swelling. Complications were resolved spontaneously without the need for blood transfusion or reintervention. Thirteen patients died during follow-up (59.1%); eight of these patients died within 1 year after hernia repair. However, there was no 30-day postoperative mortality. Five of the eight patients who died were Child’s class B and the remaining three patients were Child’s class C. Deaths were all related to cirrhotic complications, and there was no operation-related mortality. Conclusion: Inguinal hernia repairs under local anesthesia in patients with cirrhosis accompanied by ascites were performed safely and effectively. Therefore, surgical repair is recommended even in patients with refractory ascites and poor hepatic function to prevent life-threatening complications or severe pain and improve quality of life.
목차
Purpose
INTRODUCTION
METHODS
RESULTS
DISCUSSION
CONFLICTS OF INTEREST
REFERENCES
참고문헌 (10)
참고문헌 신청
1. [학술지(정기간행물)] - Kim JW / 1997 / Inguinal herniorrhaphy in patient with cirrhosis of liver and ascites / J Korean Surg Soc 53 : 275 ~ 279
2. [학술지(정기간행물)] - Horn TW / 2001 / When a hernia is not a hernia: the evaluation of inguinal hernias in the cirrhotic patient / Am Surg 67 : 1093 ~ 1095
3. [학술지(정기간행물)] - Hurst RD / 1992 / Management of groin hernias in patients with ascites / Ann Surg 216 : 696 ~ 700
4. [학술지(정기간행물)] - Herrera JL / 1991 / Current medical management of cirrhotic ascites / Am J Med Sci 302 : 31 ~ 37
5. [학술지(정기간행물)] - Carbonell AM / 2005 / Poor outcomes in cirrhosis-associated hernia repair: a nationwide cohort study of 32,033 patients / Hernia 9 : 353 ~ 357
2. [학술지(정기간행물)] - Horn TW / 2001 / When a hernia is not a hernia: the evaluation of inguinal hernias in the cirrhotic patient / Am Surg 67 : 1093 ~ 1095
3. [학술지(정기간행물)] - Hurst RD / 1992 / Management of groin hernias in patients with ascites / Ann Surg 216 : 696 ~ 700
4. [학술지(정기간행물)] - Herrera JL / 1991 / Current medical management of cirrhotic ascites / Am J Med Sci 302 : 31 ~ 37
5. [학술지(정기간행물)] - Carbonell AM / 2005 / Poor outcomes in cirrhosis-associated hernia repair: a nationwide cohort study of 32,033 patients / Hernia 9 : 353 ~ 357
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UCI(KEPA) : I410-ECN-0101-2013-514-002684084