Hepatic cirrhosis and groin hernia: binomial or dichotomy? Our experience with a safe surgical treatment protocol

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COD: 197-204 Categorie: ,

Adelmo Gubitosi, Roberto Ruggiero, Giovanni Docimo, Nicola Avenia, Giuseppe Villaccio, Alessandro Esposito, Fabrizio Foroni, Massimo Agresti

Ann. Ital. Chir., 2011 82: 197-204

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Hepatitis B and C are endemic in the Campania region of Italy, and as a result there are many patients with hepatitis-
related cirrhosis. The medical community is therefore faced with a series of issues which must be dealt with and
which are especially relevant to various areas of surgery. Abdominal wall hernias occur very frequently in cirrhotic patients,
and hepatic cirrhosis has always been the harbinger of a negative outcome in patients undergoing inguinal hernia repair.
The aim of this study, conducted on 52 cirrhotic patients who underwent inguinal hernioplasty, was to evaluate the
effectiveness and safety of surgical treatment when certain parasurgical measures are used. These measures and the notes
we inserted in our surgical protocol include the following: short-term antibiotic prophylaxis, perioperative infusion of concentrated
platelets, not opening the hernia sac, application of human fibrin glue, elastic compression. All patients were
treated according to the same protocol and the data was analysed using the statistics software EPI INFO 3.5.

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