Concurrent umbilical hernia repair at the time of liver transplantation: A six-year experience from a single institution

A. J. Perez, I. N. Haskins, A. S. Prabhu, D. M. Krpata, C. Tu, S. Rosenblatt, K. Hashimoto, T. Diago, B. Eghtesad, Michael I.J. Rosen

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Background: Umbilical hernias are common in patients with end-stage liver disease undergoing liver transplantation. Management of those persisting at the time of liver transplantation is important to define. Objective: To evaluate the long-term results of patients undergoing simultaneous primary umbilical hernia repair (UHR) at the time of liver transplantation at a single institution. Methods: Retrospective chart review was performed on patients undergoing simultaneous UHR and liver transplantation from 2010 through 2016. 30-day morbidity and mortality outcomes and long-term hernia recurrence were investigated. Results: 59 patients had primary UHR at the time of liver transplantation. All hernias were reducible with no overlying skin breakdown or leakage of ascites. 30-day morbidity and mortality included 5 (8%) superficial surgical site infections, 1 (2%) deep surgical site infection, and 7 (12%) organ space infections. Unrelated to the UHR, 10 (17%) patients had an unplanned return to the operating room, 16 (27%) were readmitted within 30 days of their index operation, and 1 (2%) patient died. With a mean follow-up of 21.8 months, 7 (18%) patients experienced an umbilical hernia recurrence. Conclusion: Despite the high perioperative morbidity associated with the transplant procedure, concurrent primary UHR resulted in an acceptable long-term recurrence rate with minimal associated morbidity.

Original languageEnglish (US)
Pages (from-to)20-25
Number of pages6
JournalInternational Journal of Organ Transplantation Medicine
Volume9
Issue number1
StatePublished - 2018
Externally publishedYes

Keywords

  • Cirrhosis
  • Clinical decision-making
  • Liver disease
  • Liver transplantation
  • Surgical technique
  • Tissue injury and repair
  • Umbilical hernia

ASJC Scopus subject areas

  • Transplantation

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