PMID- 29531643 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220316 IS - 2008-6482 (Print) IS - 2008-6490 (Electronic) IS - 2008-6482 (Linking) VI - 9 IP - 1 DP - 2018 TI - Concurrent Umbilical Hernia Repair at the Time of Liver Transplantation: A Six-Year Experience from a Single Institution. PG - 20-25 AB - BACKGROUND: Umbilical hernias are common in patients with end-stage liver disease undergoing liver transplantation. Management of those persisting at the time of liver transplantation is important to define. OBJECTIVE: To evaluate the long-term results of patients undergoing simultaneous primary umbilical hernia repair (UHR) at the time of liver transplantation at a single institution. METHODS: Retrospective chart review was performed on patients undergoing simultaneous UHR and liver transplantation from 2010 through 2016. 30-day morbidity and mortality outcomes and long-term hernia recurrence were investigated. RESULTS: 59 patients had primary UHR at the time of liver transplantation. All hernias were reducible with no overlying skin breakdown or leakage of ascites. 30-day morbidity and mortality included 5 (8%) superficial surgical site infections, 1 (2%) deep surgical site infection, and 7 (12%) organ space infections. Unrelated to the UHR, 10 (17%) patients had an unplanned return to the operating room, 16 (27%) were readmitted within 30 days of their index operation, and 1 (2%) patient died. With a mean follow-up of 21.8 months, 7 (18%) patients experienced an umbilical hernia recurrence. CONCLUSION: Despite the high perioperative morbidity associated with the transplant procedure, concurrent primary UHR resulted in an acceptable long-term recurrence rate with minimal associated morbidity. FAU - Perez, A J AU - Perez AJ AD - Comprehensive Hernia Center, Digestive Disease and Surgery Institute, The Cleveland Clinic Foundation, Cleveland, OH, USA. FAU - Haskins, I N AU - Haskins IN AD - Comprehensive Hernia Center, Digestive Disease and Surgery Institute, The Cleveland Clinic Foundation, Cleveland, OH, USA. FAU - Prabhu, A S AU - Prabhu AS AD - Comprehensive Hernia Center, Digestive Disease and Surgery Institute, The Cleveland Clinic Foundation, Cleveland, OH, USA. FAU - Krpata, D M AU - Krpata DM AD - Comprehensive Hernia Center, Digestive Disease and Surgery Institute, The Cleveland Clinic Foundation, Cleveland, OH, USA. FAU - Tu, C AU - Tu C AD - Department of Quantitative Health Sciences, Lerner Research Institute, The Cleveland Clinic Foundation, Cleveland, OH, USA. FAU - Rosenblatt, S AU - Rosenblatt S AD - Comprehensive Hernia Center, Digestive Disease and Surgery Institute, The Cleveland Clinic Foundation, Cleveland, OH, USA. FAU - Hashimoto, K AU - Hashimoto K AD - Transplantation Center, Digestive Disease and Surgery Institute, The Cleveland Clinic Foundation, Cleveland, OH, USA. FAU - Diago, T AU - Diago T AD - Transplantation Center, Digestive Disease and Surgery Institute, The Cleveland Clinic Foundation, Cleveland, OH, USA. FAU - Eghtesad, B AU - Eghtesad B AD - Transplantation Center, Digestive Disease and Surgery Institute, The Cleveland Clinic Foundation, Cleveland, OH, USA. FAU - Rosen, M L J AU - Rosen MLJ AD - Comprehensive Hernia Center, Digestive Disease and Surgery Institute, The Cleveland Clinic Foundation, Cleveland, OH, USA. LA - eng PT - Journal Article DEP - 20180201 PL - Iran TA - Int J Organ Transplant Med JT - International journal of organ transplantation medicine JID - 101535773 PMC - PMC5839626 OTO - NOTNLM OT - Cirrhosis OT - Clinical decision-making OT - Liver disease OT - Liver transplantation OT - Surgical technique OT - Tissue injury and repair OT - Umbilical hernia EDAT- 2018/03/14 06:00 MHDA- 2018/03/14 06:01 PMCR- 2018/01/01 CRDT- 2018/03/14 06:00 PHST- 2018/03/14 06:00 [entrez] PHST- 2018/03/14 06:00 [pubmed] PHST- 2018/03/14 06:01 [medline] PHST- 2018/01/01 00:00 [pmc-release] AID - ijotm-9-020 [pii] PST - ppublish SO - Int J Organ Transplant Med. 2018;9(1):20-25. Epub 2018 Feb 1.