Abstract
Background: In 1998, the Prolene Hernia System (PHS) mesh, consisting of an onlay and an underlay patch attached with a connector, was introduced as an option for tension-free open repair of inguinal hernias combining the benefits of a posterior and anterior repair from an open approach. Our objective was to evaluate the PHS mesh repair of umbilical hernia in ascetics with liver cirrhosis. Patients and methods: non randomized prospective study included 24 cases with mild or moderate ascites , cirrhotics, with small umbilical hernia were subjected to elective repair using prolene hernia system(PHS) under local anathesia, patients were followed up for one and half years. Results: no mortality, one case of bleeding varices after 9 months respond to injection, transient ascetic leak in 6 cases, one case of wound infection respond to antibiotics and dressing and no hernia recurrence. Conclusion: Prolene hernia system is easily applicable and effective method for repair of umbilical hernia with ascites.
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