Mesh plug repair for a small incisional hernia in a cirrhotic patient with ascites: report of a case

We report herein the case of a patient with severe liver ascites due to cirrhosis in whom a small incisional hernia on a midline incision was successfully treated by a mesh plug repair, a method most commonly employed for groin hernia repair. The hernia sac was dissected and inverted into the abdomi...

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Bibliographic Details
Published in:Surgery today (Tokyo, Japan) Japan), 1998-01, Vol.28 (6), p.657-658
Main Authors: Hachisuka, T, Nakayama, H, Shibata, A, Miyauchi, M, Imamura, Y, Misawa, K, Teshigawara, O, Hibi, Y, Mori, T, Shinohara, M, Kato, Y
Format: Article
Language:English
Subjects:
Ascites - complications
Female
Hernia, Umbilical - complications
Hernia, Umbilical - surgery
Hernia, Ventral - complications
Hernia, Ventral - surgery
Humans
Liver Cirrhosis - complications
Middle Aged
Postoperative Complications - surgery
Surgical Mesh
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Summary:We report herein the case of a patient with severe liver ascites due to cirrhosis in whom a small incisional hernia on a midline incision was successfully treated by a mesh plug repair, a method most commonly employed for groin hernia repair. The hernia sac was dissected and inverted into the abdominal cavity by the mesh plug under epidural anesthesia. The patient's recovery was quick and relatively painless, and there has been no recurrence after 1 year of followup. This case report demonstrates that the method of mesh plug repair may be appropriate for small incisional hernias as well as groin hernias, performed under epidural anesthesia.
ISSN:0941-1291
1436-2813
DOI:10.1007/s005950050202