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Copyright ©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Jul 27, 2016; 8(7): 476-482
Published online Jul 27, 2016. doi: 10.4240/wjgs.v8.i7.476
Umbilical hernia in patients with liver cirrhosis: A surgical challenge
Julio C U Coelho, Christiano M P Claus, Antonio C L Campos, Marco A R Costa, Caroline Blum
Julio C U Coelho, Antonio C L Campos, Marco A R Costa, Caroline Blum, Department of Surgery, Federal University of Parana, 80060-900 Curitiba, Parana, Brazil
Julio C U Coelho, Chief Division of Gastrointestinal Surgery and Liver Transplantation, Federal University of Parana, 80240-110 Curitiba, Parana, Brazil
Christiano M P Claus, Department of Surgery, Positive University, 81280-330 Campo Comprido, Parana, Brazil
Author contributions: Coelho JCU designed and wrote the manuscript; Claus CMP, Campos ACL, Costa MAR and Blum C search the literature and revised the article; all the authors gave the final approval.
Conflict-of-interest statement: The authors have no financial disclosure and no conflict of interest.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Dr. Julio CU Coelho, MD, MS, PhD, Professor of Surgery, Chief Division of Gastrointestinal Surgery and Liver Transplantation, Federal University of Parana, Rua Bento Viana 1140, Ap. 2202, 80240-110 Curitiba, Brazil. coelhojcu@yahoo.com.br
Telephone: +55-41-32420560 Fax: +55-41-33223789
Received: January 27, 2016
Peer-review started: January 27, 2016
First decision: March 23, 2016
Revised: April 20, 2016
Accepted: May 10, 2016
Article in press: May 11, 2016
Published online: July 27, 2016
Core Tip

Core tip: Umbilical hernia management in cirrhotics is controversial. Indication, timing, and surgical options of herniorrhaphy such as mesh use and laparoscopic access in these patients remain controversial. This comprehensive review shows that umbilical hernia prevalence is very high in cirrhotic patients with ascites. The etiopathogenesis of umbilical hernia in these patients is discussed in detail. Umbilical hernia management changed markedly in the last decades due to better medical care of cirrhotic patients. Ascites control is the mainstay to avoid surgical complications and recurrence.