{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T23:58:39Z","timestamp":1788479919195,"version":"build-2803163510"},"reference-count":26,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2022,7,23]],"date-time":"2022-07-23T00:00:00Z","timestamp":1658534400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Ruptured umbilical hernias in patients with ascites (Flood Syndrome) is an uncommon problem with high morbidity and mortality. The treatment of patients experiencing Flood Syndrome is controversial, with a multitude of different treatments being proposed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>This paper presents our experience in treating Flood syndrome, and presents a standardized way of treating these patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Six consecutive patients with Flood syndrome were treated with the same standardized management and surgical technique. All patients had Cirrhosis (Child B and C). All were treated as open emergency operations, with no recurrence or post\u2010operative complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Though there is a lack of level I or II evidence, the data suggests that ruptured umbilical hernias in cirrhotic patients are a surgical emergency that can be optimally managed with operative management. We present a standardized technique for the repair of these hernias which is simple, reliable and appears to have reproducible results. The technique aims to provide a hermetic seal immediately peri\u2010operatively and is supported by medical optimization of the post\u2010operative period. Our small case series represents effective and safe management in appropriately selected patients.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.17936","type":"journal-article","created":{"date-parts":[[2022,7,23]],"date-time":"2022-07-23T07:30:09Z","timestamp":1658561409000},"page":"2524-2528","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["A novel approach to managing ruptured umbilical hernias in cirrhosis"],"prefix":"10.1111","volume":"92","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1726-1197","authenticated-orcid":false,"given":"Romain","family":"Seppey","sequence":"first","affiliation":[{"name":"Trauma and Acute Care Surgery Unit Liverpool Hospital  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6040-5032","authenticated-orcid":false,"given":"Aditya","family":"Benjamin","sequence":"additional","affiliation":[{"name":"Trauma and Acute Care Surgery Unit Liverpool Hospital  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Lambrakis","sequence":"additional","affiliation":[{"name":"Trauma and Acute Care Surgery Unit Liverpool Hospital  Sydney New South Wales Australia"},{"name":"School of Medicine University of New South Wales  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,7,23]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jviscsurg.2012.04.002"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v21.i10.3109"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/nejm196101122640204"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2010.01.002"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/bf01540442"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-1007199"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.radcr.2020.10.045"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAJ.0b013e3181f31932"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.14740\/jmc3375"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.7812\/TPP\/16-152"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1979.01370360097016"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1995.01430090038015"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfl080"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.0007-1323.2001.01893.x"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2007.05.006"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-009-0556-4"},{"key":"e_1_2_8_18_1","first-page":"1189","article-title":"Mesh repair of non\u2010complicated umbilical hernia in ascitic patients with liver cirrhosis","volume":"37","author":"Youssef YF","year":"2007","journal-title":"J. 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