{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T19:26:58Z","timestamp":1776972418719,"version":"3.51.4"},"reference-count":16,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,5,20]],"date-time":"2025-05-20T00:00:00Z","timestamp":1747699200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100012665","name":"Institute for Clinical Evaluative Sciences","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100012665","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100030898","name":"Institut canadien d'information sur la sant\u00e9","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100030898","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000226","name":"Ontario Ministry of Health and Long-Term Care","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000226","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100010661","name":"Southeastern Ontario Medical Organization","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100010661","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","surgjournal.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Surgery"],"published-print":{"date-parts":[[2025,8]]},"DOI":"10.1016\/j.surg.2025.109447","type":"journal-article","created":{"date-parts":[[2025,6,12]],"date-time":"2025-06-12T02:49:04Z","timestamp":1749696544000},"page":"109447","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":2,"special_numbering":"C","title":["Perioperative risks and risk factors in patients with cirrhosis undergoing abdominal wall hernia repair: A population-level analysis"],"prefix":"10.1016","volume":"184","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0192-4080","authenticated-orcid":false,"given":"Sean","family":"Bennett","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer A.","family":"Flemming","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maya","family":"Djerboua","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vanessa","family":"Wiseman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonah","family":"Moore","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Szasz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sulaiman","family":"Nanji","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.surg.2025.109447_bib1","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1016\/j.bpg.2012.01.010","article-title":"Morbidity and mortality related to non-hepatic surgery in patients with liver cirrhosis: a systematic review","volume":"26","author":"de Goede","year":"2012","journal-title":"Best Pract Res Clin Gastroenterol"},{"key":"10.1016\/j.surg.2025.109447_bib2","doi-asserted-by":"crossref","first-page":"1435","DOI":"10.1007\/s10029-022-02598-7","article-title":"Umbilical hernia in patients with cirrhosis: systematic review of mortality and complications","volume":"26","author":"Snitkjaer","year":"2022","journal-title":"Hernia"},{"key":"10.1016\/j.surg.2025.109447_bib3","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1097\/00000658-198307000-00006","article-title":"Management of spontaneous umbilical hernia disruption in the cirrhotic patient","volume":"198","author":"Lemmer","year":"1983","journal-title":"Ann Surg"},{"key":"10.1016\/j.surg.2025.109447_bib4","first-page":"1363A","article-title":"Umbilical hernia in cirrhotic patients with ascites. Prevalence, course and management","volume":"84","author":"Belghiti","year":"1983","journal-title":"Gastroenterology"},{"key":"10.1016\/j.surg.2025.109447_bib5","doi-asserted-by":"crossref","first-page":"461","DOI":"10.1007\/s10029-009-0535-9","article-title":"Umbilical hernia repair in the presence of cirrhosis and ascites: results of a survey and review of the literature","volume":"13","author":"McKay","year":"2009","journal-title":"Hernia"},{"key":"10.1016\/j.surg.2025.109447_bib6","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0201120","article-title":"Identifying cirrhosis, decompensated cirrhosis and hepatocellular carcinoma in health administrative data: a validation study","volume":"13","author":"Lapointe-Shaw","year":"2018","journal-title":"PLoS One"},{"key":"10.1016\/j.surg.2025.109447_bib7","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0229218","article-title":"Validation of a hierarchical algorithm to define chronic liver disease and cirrhosis etiology in administrative healthcare data","volume":"15","author":"Philip","year":"2020","journal-title":"PLoS One"},{"key":"10.1016\/j.surg.2025.109447_bib8","doi-asserted-by":"crossref","first-page":"1451","DOI":"10.1053\/j.gastro.2018.07.025","article-title":"Effects of allocating livers for transplantation based on model for end-stage liver disease\u2013sodium scores on patient outcomes","volume":"155","author":"Nagai","year":"2018","journal-title":"Gastroenterology"},{"key":"10.1016\/j.surg.2025.109447_bib9","doi-asserted-by":"crossref","first-page":"342","DOI":"10.1002\/bjs5.50252","article-title":"EHS and AHS guidelines for treatment of primary ventral hernias in rare locations or special circumstances","volume":"4","author":"Henriksen","year":"2020","journal-title":"BJS Open"},{"key":"10.1016\/j.surg.2025.109447_bib10","doi-asserted-by":"crossref","first-page":"772","DOI":"10.1111\/ans.15666","article-title":"Outcomes of inguinal hernia repair in cirrhotics: a single tertiary centre experience","volume":"90","author":"Sidhu","year":"2020","journal-title":"ANZ J Surg"},{"key":"10.1016\/j.surg.2025.109447_bib11","doi-asserted-by":"crossref","first-page":"20","DOI":"10.11138\/gchir\/2018.39.1.020","article-title":"The abdominal wall incisional hernia repair in cirrhotic patients","volume":"39","author":"Licari","year":"2018","journal-title":"G Chir"},{"key":"10.1016\/j.surg.2025.109447_bib12","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1007\/s10029-009-0556-4","article-title":"Management of complicated umbilical hernias in cirrhotic patients using permanent mesh: randomized clinical trial","volume":"14","author":"Ammar","year":"2010","journal-title":"Hernia"},{"key":"10.1016\/j.surg.2025.109447_bib13","doi-asserted-by":"crossref","first-page":"419","DOI":"10.1007\/s10029-017-1693-9","article-title":"A matched comparison of laparoscopic versus open inguinal hernia repair in patients with liver disease using propensity score matching","volume":"22","author":"Pei","year":"2018","journal-title":"Hernia"},{"key":"10.1016\/j.surg.2025.109447_bib14","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1097\/01.sla.0000217637.69699.ef","article-title":"Observation or operation for patients with an asymptomatic inguinal hernia: a randomized clinical trial","volume":"244","author":"O\u2019Dwyer","year":"2006","journal-title":"Ann Surg"},{"key":"10.1016\/j.surg.2025.109447_bib15","doi-asserted-by":"crossref","first-page":"508","DOI":"10.1097\/SLA.0b013e3182a19725","article-title":"Long-term results of a randomized controlled trial of a nonoperative strategy (watchful waiting) for men with minimally symptomatic inguinal hernias","volume":"258","author":"Fitzgibbons","year":"2013","journal-title":"Ann Surg"},{"key":"10.1016\/j.surg.2025.109447_bib16","doi-asserted-by":"crossref","first-page":"596","DOI":"10.1002\/bjs.7355","article-title":"Long-term follow-up of patients with a painless inguinal hernia from a randomized clinical trial","volume":"98","author":"Chung","year":"2011","journal-title":"Br J Surg"}],"container-title":["Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0039606025002995?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0039606025002995?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T08:40:16Z","timestamp":1774860016000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0039606025002995"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8]]},"references-count":16,"alternative-id":["S0039606025002995"],"URL":"https:\/\/doi.org\/10.1016\/j.surg.2025.109447","relation":{},"ISSN":["0039-6060"],"issn-type":[{"value":"0039-6060","type":"print"}],"subject":[],"published":{"date-parts":[[2025,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Perioperative risks and risk factors in patients with cirrhosis undergoing abdominal wall hernia repair: A population-level analysis","name":"articletitle","label":"Article Title"},{"value":"Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.surg.2025.109447","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 The Author(s). Published by Elsevier Inc.","name":"copyright","label":"Copyright"}],"article-number":"109447"}}