ReviewWorld journal of gastrointestinal surgery2016
Umbilical hernia in patients with liver cirrhosis: A surgical challenge.
Review in World journal of gastrointestinal surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
35 citing papers in PubMed, 3 syntheses or guidelines pooled it, 87 citations in OpenAlex.
- Umbilical hernia repair in patients with cirrhosis: systematic review of mortality and complications.Hernia : the journal of hernias and abdominal wall surgery · 2022Pooled it
- Guideline
- EHS and AHS guidelines for treatment of primary ventral hernias in rare locations or special circumstances.BJS open · 2020Pooled it
- Conservative treatment versus elective repair of umbilical hernia in patients with liver cirrhosis and ascites: results of a randomized controlled trial (CRUCIAL trial).Langenbeck's archives of surgery · 2021Trial
- Spontaneous Evisceration Through Umbilical Hernia in Adult Patients: A Scoping Review of Pathophysiology, Clinical Features, Management, and Outcomes.Medicina (Kaunas, Lithuania) · 2026Article
- Mesh repair versus anatomical repair of ruptured umbilical hernia in cirrhotic patients, our center experience.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Clinical outcomes of umbilical hernia in patients with liver cirrhosis: A retrospective comparative analysis of management strategies.Qatar medical journal · 2026Article
- 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 (Kaunas, Lithuania) · 2025Article
- Using the Alfapump® to control ascites enabling elective umbilical hernia repair: A case report.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Article
- Article
- Hybrid Extended Totally Extraperitoneal Transversus Abdominis Release for Ruptured Incisional Hernia Etiologically Very Similar to Flood Syndrome: A Case Report.Surgical case reports · 2025Article
- Pilot Case Series of Robotic-Assisted Hernia Repair in Patients With Cirrhosis.Journal of abdominal wall surgery : JAWS · 2025Article
- Spontaneous bowel evisceration through umbilical hernia in an adult non-cirrhotic patient.BMJ case reports · 2024Article
- Predictive value of hematological parameters in cirrhotic patients with open umbilical hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- The impact of urgency of umbilical hernia repair on adverse outcomes in patients with cirrhosis: a population-based cohort study from England.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Ascites with a Chance of Flooding: A Rare Complication of Cirrhosis.Journal of Brown hospital medicine · 2024Article
- Preoperative risk evaluation and optimization for patients with liver disease.Gastroenterology report · 2024Review
- Umbilical Hernia Repair in Patients with Cirrhosis and in Patients with Severe Comorbidities-A Nationwide Cohort Study.World journal of surgery · 2023Article
- Umbilical hernia repair in patients with cirrhosis: who, when and how to treat.Hernia : the journal of hernias and abdominal wall surgery · 2022Review
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Umbilical hernia occurs in 20% of the patients with liver cirrhosis complicated with ascites. Due to the enormous intraabdominal pressure secondary to the ascites, umbilical hernia in these patients has a tendency to enlarge rapidly and to complicate. The treatment of umbilical hernia in these patients is a surgical challenge. Ascites control is the mainstay to reduce hernia recurrence and postoperative complications, such as wound infection, evisceration, ascites drainage, and peritonitis. Intermittent paracentesis, temporary peritoneal dialysis catheter or transjugular intrahepatic portosystemic shunt may be necessary to control ascites. Hernia repair is indicated in patients in whom medical treatment is effective in controlling ascites. Patients who have a good perspective to be transplanted within 3-6 mo, herniorrhaphy should be performed during transplantation. Hernia repair with mesh is associated with lower recurrence rate, but with higher surgical site infection when compared to hernia correction with conventional fascial suture. There is no consensus on the best abdominal wall layer in which the mesh should be placed: Onlay, sublay, or underlay. Many studies have demonstrated several advantages of the laparoscopic umbilical herniorrhaphy in cirrhotic patients compared with open surgical treatment.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.