Fibrin glue and porcine-derived mesh repair of ruptured  umbilical hernia in a patient with ascites

Fibrin glue and porcine-derived mesh repair of ruptured umbilical hernia in a patient with ascites

  • نوع فایل : کتاب
  • زبان : انگلیسی
  • مؤلف : P. Tong1, J. Ha1–3, H. Chandraratna1,4
  • چاپ و سال / کشور: 2010

Description

Background: Rupture of an umbilical hernia carries a risk of high mortality for patients with liver failure complicated by ascites. There is no consensus on the management of this condition, as it has been managed both conservatively and operatively. Methods: We report a case which demonstrates a unique surgical approach to the management of a spontaneous rupture of an umbilical hernia in a patient with liver cirrhosis and ascites with the porcine-derived mesh and TisseelTM fibrin glue. Results: The wound has remained intact and there is no recurrence at his twelve-month follow-up. Conclusions: We report the feasible use of TisseelTM fibrin glue with porcine mesh to successfully repair a ruptured umbilical hernia in a cirrhotic patient with gross ascites.
Eur Surg (2011) 43/1: 55–57 DOI 10.1007/s10353-010-0578-2 Received November 15, 2009; accepted after revision October 15, 2010
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