Evaluation of hernia repair operation in Child-Turcotte-Pugh class C cirrhosis and refractory ascites

Joo Kyung Park, Sang Hyub Lee, Won Jae Yoon, Jun Kyu Lee, Su Cheol Park, Bum Joon Park, Yong Jin Jung, Byeong Gwan Kim, Jung Hwan Yoon, Chung Yong Kim, Jongwon Ha, Kyu Joo Park, Yoon Jun Kim

Research output: Contribution to journalArticlepeer-review

25 Scopus citations

Abstract

Background and Aim: Abdominal wall hernia is a common feature of decompensated liver cirrhosis and frequently causes life-threatening complications or severe pain. However, there have been no data reported on postoperative mortality, hepatic functional deterioration and recurrence rate according to Child-Turcotte-Pugh (CTP) class and to the presence of refractory ascites. Methods: The study population comprised 53 liver cirrhosis patients who underwent hernia repair operation. Comparisons were made of 30-day mortality among the different CTP classes, and between those with or without refractory ascites. Liver function was also analyzed just before the operation, in the immediate postoperative period, and in the remote postoperative period. Results: Seventeen patients were in CTP class A, 27 patients in class B, and 9 patients in class C. The median follow-up duration was 24 months. There was single 30-day postoperative mortality in class C, and no CTP class deterioration after 30 days of operation. There was no mortality or recurrences in 17 patients with medically refractory ascites. The difference in 30-day mortality according to CTP class and the presence of refractory ascites did not show statistical significance (P = 0.17 and 0.97, respectively). Conclusion: Hernia operation could be done safely in CTP class A and B with low rate of recurrences, and there was no definitive increase in the operative risk in class C. In addition, refractory ascites did not increase operative risk and recurrence rate. Therefore, surgical repair might be recommended even in patients with refractory ascites and poor hepatic function to prevent life-threatening complications or severe pain.

Original languageEnglish
Pages (from-to)377-382
Number of pages6
JournalJournal of Gastroenterology and Hepatology (Australia)
Volume22
Issue number3
DOIs
StatePublished - Mar 2007

Keywords

  • Child-Turcotte-Pugh (CTP) class
  • Cirrhosis
  • Hernia
  • Hernia repair surgery
  • Refractory ascites

Fingerprint

Dive into the research topics of 'Evaluation of hernia repair operation in Child-Turcotte-Pugh class C cirrhosis and refractory ascites'. Together they form a unique fingerprint.

Cite this