Abstract:
Background. The objective of this study is to provide autologous platelet-rich fibrin transplantation
in inguinal hernia repair in liver cirrhosis with ascites.
Materials and methods. A study was conducted on 28 patients with inguinal hernia combined with
liver cirrhosis and massive ascites-peritonitis.
Group I: 14 patients with inguinal hernia associated with liver cirrhosis and massive ascites peritonitis
underwent Lichtenstein type hernioplasty. Group II: 14 patients with inguinal hernia associated with
liver cirrhosis and massive ascites peritonitis underwent Lichtenstein type hernioplasty with the
application of autologous fibrin transplantation rich in platelets. All patients in both groups underwent
laparoscopic lavage of the abdominal cavity with antibacterials and postoperative drainage with lavage.
Results. Seroma wounds postoperative wounds I group 3 cases, II group 0 cases. Postoperative wound
suppuration I group 1 case, In group II – 0 cases. Recurrence of the hernia at 1 year was not observed
in both groups. Mortality consists of 2 patients, who developed liver failure after 2 months of
hospitalization, 1 patient from group I.
Conclusion. In patients with inguinal hernia and liver cirrhosis and ascites-peritonitis, the application
of Lichtenstein-type surgical treatment with the application of autologous platelet-rich fibrin
transplantation ensures safe local results, without postoperative complications in the postoperative
wound (lack of seromaler and wound suppuration). Postoperative mortality does not determine a
significant difference, being caused by liver reserves and liver failure. Surgical treatment without the
application of autologous platelet-rich fibrin transplantation has an increased incidence of
postoperative complications.
