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           \u003Cjats:title>Background and aims\u003C\u002Fjats:title>\n            \u003Cjats:p>Since there is clinical overlap between populations with cirrhosis and those who require hernia repair (i.e. due to stretching of abdominal walls), we systematically evaluate the effects of cirrhosis on post-hernia repair outcomes.\u003C\u002Fjats:p>\n          \u003C\u002Fjats:sec>\n          \u003Cjats:sec>\n            \u003Cjats:title>Methods\u003C\u002Fjats:title>\n            \u003Cjats:p>2011–2017 National Inpatient Sample was used to identify patients who underwent hernia repair (included: inguinal, umbilical, and other abdominal hernia repairs). The population was stratified into those with compensated cirrhosis (CC), decompensated cirrhosis (DC), and no cirrhosis; hepatic decompensation was defined as those with portal hypertension, ascites, and varices. The propensity score was used to match the no-cirrhosis controls to CC and DC using the 1:1 nearest neighbor mechanism. Endpoints included mortality, length of stay, costs, and complications.\u003C\u002Fjats:p>\n          \u003C\u002Fjats:sec>\n          \u003Cjats:sec>\n            \u003Cjats:title>Results\u003C\u002Fjats:title>\n            \u003Cjats:p>Postmatch, there were 392\u002F446 CC\u002FDC with equal number controls in those undergoing inguinal hernia repair, 714\u002F1652 CC\u002FDC with equal number controls in those undergoing umbilical hernia repair, and 784\u002F702 CC\u002FDC. In multivariate, for inguinal repair, there was no difference in mortality [CC vs. no-cirrhosis aOR 2.61, 95% confidence interval (CI) 0.50–13.52; DC vs. no-cirrhosis: aOR 1.75, 95% CI 0.84–3.63]. For umbilical repair, there was no difference in mortality for CC vs. no-cirrhosis: aOR 0.94, 95% CI 0.36–2.42); however, DC had higher mortality (aOR 2.86, 95% CI 1.76–4.63) when comparing DC vs. no-cirrhosis. For other abdominal repairs, there was no difference in mortality for CC vs. no-cirrhosis (aOR 1.10, 95% CI 0.54–2.23); however, DC had higher mortality (\u003Cjats:italic toggle=\"yes\">P\u003C\u002Fjats:italic> < 0.001, aOR 2.58, 95% CI 1.49–4.46) when comparing DC vs. no-cirrhosis.\u003C\u002Fjats:p>\n          \u003C\u002Fjats:sec>\n          \u003Cjats:sec>\n            \u003Cjats:title>Conclusion\u003C\u002Fjats:title>\n            \u003Cjats:p>This study demonstrates that the presence of DC affects postoperative survival in patients undergoing umbilical or other abdominal hernia repair surgery.\u003C\u002Fjats:p>\n          \u003C\u002Fjats:sec>",{"EN":1194},"The impact of compensated and decompensated cirrhosis on the postoperative outcomes of patients undergoing hernia repair: a propensity score-matched analysis of 2011–2017 US hospital database",{"VOID":1196},"34974467",{"VOID":1198},"10.1097\u002Fmeg.0000000000002321",[204],"https:\u002F\u002Fjournals.lww.com\u002F10.1097\u002FMEG.0000000000002321",[1202,1221,1238,1279,1296,1311,1326],{"id":1203,"sortIndex":64,"researcher":24,"roles":1204,"affiliations":1205,"properties":1216},"5e82620c-0b17-4aa4-8eed-1032caf0e231",[],[1206],{"id":1207,"sortIndex":25,"affiliation":1208,"properties":24},"38695a02-eb7f-40a4-b80d-5a0e18695921",{"id":1209,"createTime":1210,"updateTime":1210,"relativeEntities":1211,"slug":1212,"properties":1213,"entityType":53,"verifyStatus":23,"verifyTime":24,"verifyNote":24,"syncStatus":23,"languages":24,"translateLanguages":24,"viewCount":25},"d4798075-c08a-4d26-9969-1fd425013df5","2024-09-30T23:36:30.049+00:00",[],"Liver-Center-Division-of-Gastroenterology-Tufts-Medical-Center-Boston-Massachusetts-USA",{"title":1214},{"EN":1215},"Liver Center, Division of Gastroenterology, Tufts Medical Center, Boston, Massachusetts, USA",{"openalex":1217,"title":1219},{"VOID":1218},"A5055679505",{"EN":1220},"Ki Jung Lee",{"id":1222,"sortIndex":63,"researcher":24,"roles":1223,"affiliations":1224,"properties":1231},"6530ba7c-b299-43b1-8d69-ce56ecc2a1bd",[],[1225],{"id":1226,"sortIndex":25,"affiliation":1227,"properties":24},"b48adce3-88a7-4aca-8e58-c0be2d69ee52",{"id":1209,"createTime":1210,"updateTime":1210,"relativeEntities":1228,"slug":1212,"properties":1229,"entityType":53,"verifyStatus":23,"verifyTime":24,"verifyNote":24,"syncStatus":23,"languages":24,"translateLanguages":24,"viewCount":25},[],{"title":1230},{"EN":1215},{"openalex":1232,"orcid":1234,"title":1236},{"VOID":1233},"A5041276307",{"VOID":1235},"https:\u002F\u002Forcid.org\u002F0000-0001-8477-7586",{"EN":1237},"Gregory H. 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1997, Abdominal wall hernias in the setting of cirrhosis., Semin Liver Dis, 17, 219, 10.1055\u002Fs-2007-1007199",{"doi":1389},"10.1055\u002Fs-2007-1007199",{"id":24,"text":1391,"url":24,"identifiers":1392},"Triantos, 2011, Surgical repair of umbilical hernias in cirrhosis with ascites., Am J Med Sci, 341, 222, 10.1097\u002FMAJ.0b013e3181f31932",{"doi":1393},"10.1097\u002FMAJ.0b013e3181f31932",{"id":24,"text":1395,"url":24,"identifiers":1396},"Salamone, 2018, The abdominal wall hernia in cirrhotic patients: a historical challenge., World J Emerg Surg, 13, 35, 10.1186\u002Fs13017-018-0196-z",{"doi":1397},"10.1186\u002Fs13017-018-0196-z",{"id":24,"text":1399,"url":24,"identifiers":1400},"Pinheiro, 2020, Abdominal hernias in cirrhotic patients: surgery or conservative treatment? Results of a prospective cohort study in a high volume center: Cohort study., Ann Med Surg (Lond), 49, 9, 10.1016\u002Fj.amsu.2019.11.009",{"doi":1401},"10.1016\u002Fj.amsu.2019.11.009",{"id":24,"text":1403,"url":24,"identifiers":1404},"Lutwak, 2011, Incarcerated umbilical hernia leading to small bowel ischemia., BMJ Case Rep, 2011, bcr0620114370, 10.1136\u002Fbcr.06.2011.4370",{"doi":1405},"10.1136\u002Fbcr.06.2011.4370",{"id":24,"text":1407,"url":24,"identifiers":1408},"Owen, 2007, Delayed diagnosis of infarcted small bowel due to right-sided Bochdalek hernia., Ann R Coll Surg Engl, 89, W1, 10.1308\u002F147870807X160407",{"doi":1409},"10.1308\u002F147870807X160407",{"id":24,"text":1411,"url":24,"identifiers":1412},"Carbonell, 2005, Poor outcomes in cirrhosis-associated hernia repair: a nationwide cohort study of 32,033 patients., Hernia, 9, 353, 10.1007\u002Fs10029-005-0022-x",{"doi":1413},"10.1007\u002Fs10029-005-0022-x",{"id":24,"text":1415,"url":24,"identifiers":1416},"Hew, 2018, Safety and effectiveness of umbilical hernia repair in patients with cirrhosis., Hernia, 22, 759, 10.1007\u002Fs10029-018-1761-9",{"doi":1417},"10.1007\u002Fs10029-018-1761-9",{"id":24,"text":1419,"url":24,"identifiers":1420},"Oh, 2011, Inguinal hernia repair in patients with cirrhosis is not associated with increased risk of complications and recurrence., World J Surg, 35, 1229, 10.1007\u002Fs00268-011-1007-9",{"doi":1421},"10.1007\u002Fs00268-011-1007-9",{"id":24,"text":1423,"url":24,"identifiers":1424},"Hur, 2011, Inguinal hernia repair in patients with liver cirrhosis accompanied by ascites., J Korean Surg Soc, 80, 420, 10.4174\u002Fjkss.2011.80.6.420",{"doi":1425},"10.4174\u002Fjkss.2011.80.6.420",{"id":24,"text":1427,"url":24,"identifiers":1428},"Yu, 2015, The repair of umbilical hernia in cirrhotic patients: 18 consecutive case series in a single institute., Ann Surg Treat Res, 89, 87, 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