{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,19]],"date-time":"2025-04-19T13:10:05Z","timestamp":1745068205073,"version":"3.40.4"},"reference-count":27,"publisher":"Springer Science and Business Media LLC","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,4,19]]},"DOI":"10.7759\/cureus.82578","type":"journal-article","created":{"date-parts":[[2025,4,19]],"date-time":"2025-04-19T12:43:21Z","timestamp":1745066601000},"source":"Crossref","is-referenced-by-count":0,"title":["Management and Outcomes of Umbilical Hernia in Decompensated Chronic Liver Disease: A Single-Unit Experience of Six Cases"],"prefix":"10.7759","author":[{"given":"Karamveer","family":"Singh","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manoj Joshua","family":"Lokavarapu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nayana","family":"S Kumar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amit","family":"Gupta","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arunkumar","family":"V","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dipendra","family":"Singh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vatsala","family":"Singh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammad  Shahid","family":"Raja","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Satish","family":"Ammapalem","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Monisha","family":"Selvarasu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.4240\/wjgs.v8.i7.476","article-title":"Umbilical hernia in patients with liver cirrhosis: a surgical challenge","volume":"8","author":"Coelho JC","year":"2016","unstructured":"Coelho JC, Claus CM, Campos AC, Costa MA, Blum C. Umbilical hernia in patients with liver cirrhosis: a surgical challenge. World J Gastrointest Surg. 2016, 8:476-82. 10.4240\/wjgs.v8.i7.476","journal-title":"World J Gastrointest Surg"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-005-0022-x","article-title":"Poor outcomes in cirrhosis-associated hernia repair: a nationwide cohort study of 32,033 patients","volume":"9","author":"Carbonell AM","year":"2005","unstructured":"Carbonell AM, Wolfe LG, DeMaria EJ. Poor outcomes in cirrhosis-associated hernia repair: a nationwide cohort study of 32,033 patients. Hernia. 2005, 9:353-7. 10.1007\/s10029-005-0022-x","journal-title":"Hernia"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.2012.1663","article-title":"Umbilical hernia repair in patients with signs of portal hypertension: surgical outcome and predictors of mortality","volume":"147","author":"Cho SW","year":"2012","unstructured":"Cho SW, Bhayani N, Newell P, Cassera MA, Hammill CW, Wolf RF, Hansen PD. Umbilical hernia repair in patients with signs of portal hypertension: surgical outcome and predictors of mortality. Arch Surg. 2012, 147:864-9. 10.1001\/archsurg.2012.1663","journal-title":"Arch Surg"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2007.05.006","article-title":"Management in patients with liver cirrhosis and an umbilical hernia","volume":"142","author":"Marsman HA","year":"2007","unstructured":"Marsman HA, Heisterkamp J, Halm JA, Tilanus HW, Metselaar HJ, Kazemier G. Management in patients with liver cirrhosis and an umbilical hernia. Surgery. 2007, 142:372-5. 10.1016\/j.surg.2007.05.006","journal-title":"Surgery"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-008-0496-9","article-title":"Umbilical herniorrhapy in cirrhosis: improved outcomes with elective repair","volume":"12","author":"Gray SH","year":"2008","unstructured":"Gray SH, Vick CC, Graham LA, Finan KR, Neumayer LA, Hawn MT. Umbilical herniorrhapy in cirrhosis: improved outcomes with elective repair. J Gastrointest Surg. 2008, 12:675-81. 10.1007\/s11605-008-0496-9","journal-title":"J Gastrointest Surg"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-013-1131-6","article-title":"Umbilical hernia management during liver transplantation","volume":"17","author":"de Goede B","year":"2013","unstructured":"de Goede B, van Kempen BJ, Polak WG, et al.. Umbilical hernia management during liver transplantation. Hernia. 2013, 17:515-9. 10.1007\/s10029-013-1131-6","journal-title":"Hernia"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1002\/lt.20579","article-title":"Association of recanalization of the left umbilical vein with umbilical hernia in patients with liver disease","volume":"11","author":"Shlomovitz E","year":"2005","unstructured":"Shlomovitz E, Quan D, Etemad-Rezai R, McAlister VC. Association of recanalization of the left umbilical vein with umbilical hernia in patients with liver disease. Liver Transpl. 2005, 11:1298-9. 10.1002\/lt.20579","journal-title":"Liver Transpl"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1097\/MEG.0b013e3283407158","article-title":"Mortality after surgery in patients with liver cirrhosis: comparison of Child-Turcotte-Pugh, MELD and MELDNa score","volume":"23","author":"Cho HC","year":"2011","unstructured":"Cho HC, Jung HY, Sinn DH, et al.. Mortality after surgery in patients with liver cirrhosis: comparison of Child-Turcotte-Pugh, MELD and MELDNa score. Eur J Gastroenterol Hepatol. 2011, 23:51-9. 10.1097\/MEG.0b013e3283407158","journal-title":"Eur J Gastroenterol Hepatol"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1007\/BF01664882","article-title":"Herniorrhaphy and concomitant peritoneovenous shunting in cirrhotic patients with umbilical hernia","volume":"14","author":"Belghiti J","year":"1990","unstructured":"Belghiti J, Desgrandchamps F, Farges O, F\u00e9k\u00e9t\u00e9 F. Herniorrhaphy and concomitant peritoneovenous shunting in cirrhotic patients with umbilical hernia. World J Surg. 1990, 14:242-6. 10.1007\/BF01664882","journal-title":"World J Surg"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200006083422303","article-title":"A comparison of paracentesis and transjugular intrahepatic portosystemic shunting in patients with ascites","volume":"342","author":"R\u00f6ssle M","year":"2000","unstructured":"R\u00f6ssle M, Ochs A, G\u00fclberg V, et al.. A comparison of paracentesis and transjugular intrahepatic portosystemic shunting in patients with ascites. N Engl J Med. 2000, 342:1701-7. 10.1056\/NEJM200006083422303","journal-title":"N Engl J Med"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2014.04.013","article-title":"Management of umbilical hernias in patients with ascites: development of a nomogram to predict mortality","volume":"209","author":"Saleh F","year":"2015","unstructured":"Saleh F, Okrainec A, Cleary SP, Jackson TD. Management of umbilical hernias in patients with ascites: development of a nomogram to predict mortality. Am J Surg. 2015, 209:302-7. 10.1016\/j.amjsurg.2014.04.013","journal-title":"Am J Surg"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2014.05.039","article-title":"Hernia repair in the presence of ascites","volume":"190","author":"Ecker BL","year":"2014","unstructured":"Ecker BL, Bartlett EK, Hoffman RL, Karakousis GC, Roses RE, Morris JB, Kelz RR. Hernia repair in the presence of ascites. J Surg Res. 2014, 190:471-7. 10.1016\/j.jss.2014.05.039","journal-title":"J Surg Res"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1002\/hep.26359","article-title":"Introduction to the revised American Association for the Study of Liver Diseases Practice Guideline management of adult patients with ascites due to cirrhosis 2012","volume":"57","author":"Runyon BA","year":"2013","unstructured":"Runyon BA. Introduction to the revised American Association for the Study of Liver Diseases Practice Guideline management of adult patients with ascites due to cirrhosis 2012. Hepatology. 2013, 57:1651-3. 10.1002\/hep.26359","journal-title":"Hepatology"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1002\/hep.23383","article-title":"The role of transjugular intrahepatic portosystemic shunt (TIPS) in the management of portal hypertension: update 2009","volume":"51","author":"Boyer TD","year":"2010","unstructured":"Boyer TD, Haskal ZJ. The role of transjugular intrahepatic portosystemic shunt (TIPS) in the management of portal hypertension: update 2009. Hepatology. 2010, 51:306. 10.1002\/hep.23383","journal-title":"Hepatology"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2010.01.002","article-title":"Complicated hernia presentation in patients with advanced cirrhosis and refractory ascites: management and outcome","volume":"148","author":"Telem DA","year":"2010","unstructured":"Telem DA, Schiano T, Divino CM. Complicated hernia presentation in patients with advanced cirrhosis and refractory ascites: management and outcome. Surgery. 2010, 148:538-43. 10.1016\/j.surg.2010.01.002","journal-title":"Surgery"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2003.12.010","article-title":"Management of complicated umbilical hernias in patients with end-stage liver disease and refractory ascites","volume":"135","author":"Fagan SP","year":"2004","unstructured":"Fagan SP, Awad SS, Berger DH. Management of complicated umbilical hernias in patients with end-stage liver disease and refractory ascites. Surgery. 2004, 135:679-82. 10.1016\/j.surg.2003.12.010","journal-title":"Surgery"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-198407000-00011","article-title":"Peritoneovenous shunt therapy for leaking ascites in the cirrhotic patient","volume":"200","author":"O'Connor M","year":"1984","unstructured":"O'Connor M, Allen JI, Schwartz ML. Peritoneovenous shunt therapy for leaking ascites in the cirrhotic patient. Ann Surg. 1984, 200:66-9. 10.1097\/00000658-198407000-00011","journal-title":"Ann Surg"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2016.09.016","article-title":"Transjugular intrahepatic portosystemic shunts with covered stents increase transplant-free survival of patients with cirrhosis and recurrent ascites","volume":"152","author":"Bureau C","year":"2017","unstructured":"Bureau C, Thabut D, Oberti F, et al.. Transjugular intrahepatic portosystemic shunts with covered stents increase transplant-free survival of patients with cirrhosis and recurrent ascites. Gastroenterology. 2017, 152:157-63. 10.1053\/j.gastro.2016.09.016","journal-title":"Gastroenterology"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-197501000-00018","article-title":"Management of umbilical hernias associated with hepatic cirrhosis and ascites","volume":"181","author":"O'Hara ET","year":"1975","unstructured":"O'Hara ET, Oliai A, Patek AJ Jr, Nabseth DC. Management of umbilical hernias associated with hepatic cirrhosis and ascites. Ann Surg. 1975, 181:85-7. 10.1097\/00000658-197501000-00018","journal-title":"Ann Surg"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1016\/j.dld.2011.07.015","article-title":"Management of umbilical hernia complicated with liver cirrhosis: an advocate of early and elective herniorrhaphy","volume":"43","author":"Choi SB","year":"2011","unstructured":"Choi SB, Hong KD, Lee JS, et al.. Management of umbilical hernia complicated with liver cirrhosis: an advocate of early and elective herniorrhaphy. Dig Liver Dis. 2011, 43:991-5. 10.1016\/j.dld.2011.07.015","journal-title":"Dig Liver Dis"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2021.12.004","article-title":"Risk factors for adverse outcomes in emergency versus nonemergency open umbilical hernia repair and opportunities for elective repair in a national cohort of patients with cirrhosis","volume":"172","author":"Johnson KM","year":"2022","unstructured":"Johnson KM, Newman KL, Berry K, et al.. Risk factors for adverse outcomes in emergency versus nonemergency open umbilical hernia repair and opportunities for elective repair in a national cohort of patients with cirrhosis. Surgery. 2022, 172:184-92. 10.1016\/j.surg.2021.12.004","journal-title":"Surgery"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1097\/01.sle.0000213745.15773.c1","article-title":"Laparoscopic incisional and umbilical hernia repair in cirrhotic patients","volume":"16","author":"Belli G","year":"2006","unstructured":"Belli G, D'Agostino A, Fantini C, Cioffi L, Belli A, Russolillo N, Langella S. Laparoscopic incisional and umbilical hernia repair in cirrhotic patients. Surg Laparosc Endosc Percutan Tech. 2006, 16:330-3. 10.1097\/01.sle.0000213745.15773.c1","journal-title":"Surg Laparosc Endosc Percutan Tech"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-016-5031-6","article-title":"Laparoscopic versus open ventral hernia repair in patients with chronic liver disease","volume":"31","author":"Juo YY","year":"2017","unstructured":"Juo YY, Skancke M, Holzmacher J, Amdur RL, Lin PP, Vaziri K. Laparoscopic versus open ventral hernia repair in patients with chronic liver disease. Surg Endosc. 2017, 31:769-77. 10.1007\/s00464-016-5031-6","journal-title":"Surg Endosc"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-020-02170-1","article-title":"Is mesh always necessary in every small umbilical hernia repair? Comparison of standardized primary sutured versus patch repair: retrospective cohort study","volume":"25","author":"Mitura K","year":"2021","unstructured":"Mitura K, Skolimowska-Rzewuska M, Rzewuska A, Wyrzykowska D. Is mesh always necessary in every small umbilical hernia repair? Comparison of standardized primary sutured versus patch repair: retrospective cohort study. Hernia. 2021, 25:571-7. 10.1007\/s10029-020-02170-1","journal-title":"Hernia"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.1177\/1457496918812208","article-title":"Lower risk of recurrence after mesh repair versus non-mesh sutured repair in open umbilical hernia repair: a systematic review and meta-analysis of randomized controlled trials","volume":"108","author":"Bisgaard T","year":"2019","unstructured":"Bisgaard T, Kaufmann R, Christoffersen MW, Strandfelt P, Gluud LL. Lower risk of recurrence after mesh repair versus non-mesh sutured repair in open umbilical hernia repair: a systematic review and meta-analysis of randomized controlled trials. Scand J Surg. 2019, 108:187-93. 10.1177\/1457496918812208","journal-title":"Scand J Surg"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.4240\/wjgs.v7.i11.293","article-title":"Evolution and advances in laparoscopic ventral and incisional hernia repair","volume":"7","author":"Vorst AL","year":"2015","unstructured":"Vorst AL, Kaoutzanis C, Carbonell AM, Franz MG. Evolution and advances in laparoscopic ventral and incisional hernia repair. World J Gastrointest Surg. 2015, 7:293-305. 10.4240\/wjgs.v7.i11.293","journal-title":"World J Gastrointest Surg"},{"key":"ref27","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2011.02.026","article-title":"A prospective study on elective umbilical hernia repair in patients with liver cirrhosis and ascites","volume":"150","author":"Eker HH","year":"2011","unstructured":"Eker HH, van Ramshorst GH, de Goede B, et al.. A prospective study on elective umbilical hernia repair in patients with liver cirrhosis and ascites. Surgery. 2011, 150:542-6. 10.1016\/j.surg.2011.02.026","journal-title":"Surgery"}],"container-title":["Cureus"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cureus.com\/articles\/357959-management-and-outcomes-of-umbilical-hernia-in-decompensated-chronic-liver-disease-a-single-unit-experience-of-six-cases","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,19]],"date-time":"2025-04-19T12:43:21Z","timestamp":1745066601000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cureus.com\/articles\/357959-management-and-outcomes-of-umbilical-hernia-in-decompensated-chronic-liver-disease-a-single-unit-experience-of-six-cases"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,19]]},"references-count":27,"URL":"https:\/\/doi.org\/10.7759\/cureus.82578","relation":{},"ISSN":["2168-8184"],"issn-type":[{"value":"2168-8184","type":"print"}],"subject":[],"published":{"date-parts":[[2025,4,19]]}}}