الفهرس 
Review of literatureOnly 14 pages are availabe for public view
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Abstract
Abdominal wall hernia is a common feature of decompensated cirrhosis. However, literatures on elective hernia repair in these patients are limited (Ozden et al., 1998).
The natural history and indications of repair of groin hernias in cirrhotic with ascites have not been fully characterized. Previous studies reporting on this issue have been surprisingly limited (Hurst et al, 1992).
Inguinal hernias expose cirrhotic patient to potentially life- threatening complications such as obstruction and strangulation. So, the surgeon must weigh the risk of perioperative complications relative to the likelihood of complications from untreated hernia in patient with liver cirrhosis who is often a poor medical risk and have limited hepatic reserve and tolerate physiologic stress very poorly.
In this study we retrospectively reviewed the outcome and results of repair of 32 inguinal hernias in 30 patients with liver cirrhosis. Both the inpatient and outpatient medical records of those patients are assessed with a specific attention to history of both the liver disease and inguinal hernia, local and general examination, diagnostic work-up (laboratory, imaging, etc.), approaches to the management and outcome of ascites were recorded for each case, severity of liver disease was quantified by child-Pugh’s classification, operative management of the inguinal hernia and long-term follow-up and mortality.