Use of Mesh Does Not Affect Short-Term Outcomes of Elective Open Hernia Repair in Cirrhotic Patients

Fuat Aksoy^*Burak BuyukpolatOzkan BalcinVolkan PolatkanEkrem Kaya^*

• Bursa Uludağ University, Bursa, Türkiye

This retrospective data analysis includes patients who were operated on for inguinal and umbilical hernia between January 2007 and December 2022 and are followed up due to liver cirrhosis. Approval was received for the study by the ethics committee of Bursa Uludag University ,and the requirement for informed consent for retrospective data analysis was waived. However, all patients had provided written informed consent prior to surgery.For the diagnosis of liver cirrhosis, patient history, physical examination, biochemical analysis, and radiological methods (CT, MRI, and ultrasound) were utilized. By scanning hospital medical records retrospectively, demographic characteristics of the patients, preoperative Model for End-stage Liver Disease (MELD) and CHILD-Pugh scores, etiology of cirrhosis, presence of ascites, whether it is elective or urgent surgery, other concomitant diseases, antimicrobial prophylaxis (AMP), use of drains, postoperative complications and mortality rates are analyzed. Cases who underwent transplantation due to liver cirrhosis were excluded from the study. All patients included in the study were operated on with open surgery. Spinal anesthesia was preferred for patients undergoing inguinal hernia repair, whereas general anesthesia was used for umbilical hernia procedures. Patients who underwent repair using mesh were fixed with onlay and 2/0 polypropylene suture as a standard procedure for umblical hernia.