Mohamed B.M. Kotb,
Assiut University, Egypt
Title: Button hole hernioplasty: A new technique for treatment of umbilical hernia in cirrhotic patients. A retrospective study
Biography
Biography: Mohamed B.M. Kotb,
Abstract
Surgical treatment of umbilical hernia in cirrhotic patients is still the focus of many studies to achieve the best method for treatment in consideration to the surgical and medical risk. In this study ,we experience a simple, safe and effective new technique which is independent of common risk factors. Methods. Forty cirrhotic patients with uncomplicated umbilical hernia included in study through collaboration between General Surgery Department with Tropical Medicine and Gastroenterology Department, Assuit University Hospital, Assuit, between April 2013 to April 2014. Patients was categorized according to severity of cirrhosis and subjected to an elective hernioplasty after adjustment of disturbed medical and biochemical factors.The surgical as well the postoperative outcome were evaluated in the three different groups. Results. highly significant relation in comparison between 3 groups according to operative time, Hospital stay, and Prothrombine (time and concentration) as p.value <0.05. where the three parameters were more longer in group C than in B than in A.No sever complication recorded only one of forty cases, no recurrence after 6 months follow-up and no morbidities or deaths.
Conclusion. Button hole hernioplasty is a new simple surgical technique with no significant complication rate