Inguinal Hernia: Diagnostic Trap

Hernia is the most common parietal complication in cirrhotic patients. In the latter, it is ascites that explains why its prevalence is higher than in the general population. When a surgical treatment of the hernia is decided, control of the ascites is necessary and is essentially based on repeated punctures, Although the treatment of Hernia was long reserved for symptomatic forms, it is currently recommended to treat paucisymptomatic forms due to serious complications that could occur (rupture or strangulation) including, Emergency surgical treatment is accompanied by a high morbidity and mortality rate in cirrhotic patients. During repair, it is necessary to excise all necrotic tissue.

It is possible to use prosthetic material if the neck is wide without increasing the risk of secondary infection, provided sterile ascites is present. The advantage of the laparoscopic approach is to avoid dissection of superinfected skin. In case of small neck, a cure under local anesthesia is possible.