2 doctors weighed in:

Is paraumbilical hernia in a cirrhotic patient life-threatening?

2 doctors weighed in
Dr. Brett Kalmowitz
Internal Medicine - Gastroenterology

In brief: Surgery worse

Often, surgery in a patient with cirrhosis that is severe enough to lead to that much ascites is more dangerous then the hernia itself.
With use of diuretics or paracentesis, the ascites can usually be controlled. If surgery is ever needed, it is important to have a doctor that has experience managing patients with liver disease and portal hypertension.

In brief: Surgery worse

Often, surgery in a patient with cirrhosis that is severe enough to lead to that much ascites is more dangerous then the hernia itself.
With use of diuretics or paracentesis, the ascites can usually be controlled. If surgery is ever needed, it is important to have a doctor that has experience managing patients with liver disease and portal hypertension.
Dr. Brett Kalmowitz
Dr. Brett Kalmowitz
Thank
Dr. Colin Kerr
Family Medicine

In brief: Umbilical hernia

Paraumbilical hernias are generally benign.
They can rarely cause a significant problem by getting trapped or pinched in the hole through the muscle layer. With cirrhosis, there is generally likely to be fluid pressure keeping the hernia distended, which actually tends to protect it from that problem. If it ever does become acutely red, very tender, and you are unable to push it back in, see an md.

In brief: Umbilical hernia

Paraumbilical hernias are generally benign.
They can rarely cause a significant problem by getting trapped or pinched in the hole through the muscle layer. With cirrhosis, there is generally likely to be fluid pressure keeping the hernia distended, which actually tends to protect it from that problem. If it ever does become acutely red, very tender, and you are unable to push it back in, see an md.
Dr. Colin Kerr
Dr. Colin Kerr
Thank
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