Peer-reviewed veterinary case report
Mesh repair lowers hernia recurrence in cirrhotic patients
By Taki-Eldin A et al.·2026·General Surgery Department·View original on Europe PMC →
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Original publication title: Mesh repair versus anatomical repair of ruptured umbilical hernia in cirrhotic patients, our center experience.
Plain-English summary
This study looked at two different surgical methods for fixing a ruptured umbilical hernia in patients with liver disease (cirrhosis), which can be very serious. Researchers compared traditional anatomical repair to a mesh repair technique in 149 patients over several years. They found that the mesh repair had a much lower chance of the hernia coming back, but there were slightly more infections at the surgery site with this method, although the difference wasn't significant. Overall, the mesh repair was considered a safe and effective option, as long as patients were properly prepared for surgery.
Abstract
<h4>Purpose</h4>Ruptured umbilical hernia (UH) is a life-threatening condition in cirrhotic patients with a morbidity and mortality rate of 30%. Despite its high risk, the best surgical treatment strategy for this condition remains controversial. This study aimed to evaluate the feasibility and safety of mesh repair of ruptured UH.<h4>Methods</h4>149 patients who underwent surgical management for ruptured UH between January 2018 and December 2022 were included in this retrospective study. The patients were divided into two groups: anatomical repair (group 1, n = 92) and mesh repair (group 2, n = 57). Hernia recurrence, wound infection, and other perioperative morbidity and mortality were evaluated.<h4>Results</h4>The recurrence of hernia was significantly lower after mesh repair (5.3% vs. 17.4%, P = 0.03). Other postoperative complications were not significantly different between the two groups. However, the incidence of wound infection after mesh repair was higher than that after anatomical repair, but this was statistically non-significant (12.3% vs. 8.7%, p = 0.48). Two patients in the mesh repair group required mesh removal due to infection.<h4>Conclusions</h4>Mesh repair of ruptured UH in cirrhotic patients is a feasible and safe surgical option that results in a significantly lower hernia recurrence rate with acceptable morbidity and mortality, provided that careful patient optimization is carried out.
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Search related cases →Original publication on Europe PMC: https://europepmc.org/article/MED/41636907