A Decade-Long Case Series Report on the Surgical Management of Complicated Umbilical Hernia in Patients with Decompensated Liver Cirrhosis Utilizing Incisional Negative Pressure Therapy
Abstract
1. Introduction
2. Materials and Methods
2.1. Surgical Procedure
2.2. Ascites Control
2.3. Negative Pressure Wound Therapy
2.4. Postoperative Management
2.5. Statistical Analysis
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
Abbreviations
iNPWT | Incisional negative pressure wound therapy |
TIPS | Transjugular intrahepatic portosystemic shunt |
ASA | American Society of Anesthesiologists |
CPT | Child–Pugh–Turcotte |
MELD | Model for end-stage liver disease |
ALBI | Albumin–bilirubin |
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male | 27 (96.4%) | |
female | 1 (3.6%) | |
Age (years) | median | 62 (range: 40–89) |
C–P score | ||
B | 13 (46.4%) | |
C | 14 (50%) | |
MELD score | median | 19.5 (range: 9–29) |
ALBI score | median | 2 (range: 3) |
Complication | Number | % |
---|---|---|
Sepsis | 2 | 7.1 |
Multiorgan failure | 1 | 3.6 |
Liver failure/decompesation | 3 | 10.7 |
Acute kidney failure | 2 | 7.1 |
Wound infection | 2 | 7.1 |
Ascitic leak | 1 | 3.6 |
Delirium/somnolence | 3 | 10.7 |
Symptomatic pleural effusion | 1 | 3.6 |
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Petrič, M.; Plevel, D.; Tršan, U.; Trotovšek, B. A Decade-Long Case Series Report on the Surgical Management of Complicated Umbilical Hernia in Patients with Decompensated Liver Cirrhosis Utilizing Incisional Negative Pressure Therapy. Medicina 2025, 61, 1262. https://doi.org/10.3390/medicina61071262
Petrič M, Plevel D, Tršan U, Trotovšek B. A Decade-Long Case Series Report on the Surgical Management of Complicated Umbilical Hernia in Patients with Decompensated Liver Cirrhosis Utilizing Incisional Negative Pressure Therapy. Medicina. 2025; 61(7):1262. https://doi.org/10.3390/medicina61071262
Chicago/Turabian StylePetrič, Miha, Danaja Plevel, Uroš Tršan, and Blaž Trotovšek. 2025. "A Decade-Long Case Series Report on the Surgical Management of Complicated Umbilical Hernia in Patients with Decompensated Liver Cirrhosis Utilizing Incisional Negative Pressure Therapy" Medicina 61, no. 7: 1262. https://doi.org/10.3390/medicina61071262
APA StylePetrič, M., Plevel, D., Tršan, U., & Trotovšek, B. (2025). A Decade-Long Case Series Report on the Surgical Management of Complicated Umbilical Hernia in Patients with Decompensated Liver Cirrhosis Utilizing Incisional Negative Pressure Therapy. Medicina, 61(7), 1262. https://doi.org/10.3390/medicina61071262