ArticleHernia : the journal of hernias and abdominal wall surgery2025
Using the Alfapump® to control ascites enabling elective umbilical hernia repair: A case report.
Article in Hernia : the journal of hernias and abdominal wall surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeUmbilical hernia repair in patients with medically refractory ascites poses a significant challenge for clinicians. Optimization of ascites prior to surgical intervention is recommended due to improved post-operative outcomes. The alfapump® is a battery-operated device that directs ascites into the bladder for excretion and can be utilized in patients with medically refractory ascites. We present a patient with medically refractory ascites that underwent implantation of the alfapump® allowing for elective umbilical hernia repair.
methodsA 70-year-old male with medically refractory ascites in the setting of a recurrent symptomatic umbilical hernia underwent implantation of the alfapump®.
resultsThe patient was followed in the outpatient setting and maintained adequate control of his ascites following implantation of the alfapump® device. He subsequently underwent a robotic repair of his umbilical hernia. Post-operatively, the patient did not experience a recurrence or complications related to the hernia repair.
conclusionHernia repair in the setting of medically refractory ascites pose a challenge for surgeons. The implantation of the alfapump® may be a viable option to control medically refractory ascites allowing for elective hernia repair.
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