关键词: 腹股沟疝, 肝硬化, 腹水, 围手术期处理, 无张力疝修补术

Abstract: 【Abstract】〓Objective〓To summarize the experience of tension-free hernioplasty for the chronic hepatitis B patients with cirrhosis and ascites. Methods〓From June 2006 to June 2011, 28 cirrhotic patients complicated by inguinal hernia underwent tension-free hernia repair in our hospital. The clinical data were retrospectively analyzed including the preoperative and postoperative treatment, surgical timing and surgical method. Results〓All operations were successfully completed and operative incisions were first intention. The operative complications included slight hematocele, wound oozing of blood, wound extravasation (from abdominal fluid) in one case, respectively. The follow-up ranged from 18 to 78 months, no infection and no recurrence were found. Conclusion〓For the patients with Hepatitis B complicated by cirrhosis and ascites, it is necessary to perform a strict perioperative management for receiving hernia repair and improving the quality of life

Key words: Inguinal hernia, Cirrhosis, Ascites, Perioperative management, Tension-free hernia repair