Using the Alfapump® to control ascites enabling elective umbilical hernia repair: A case report.

IF 2.4 2区医学 Q1 SURGERY

Hernia Pub Date : 2025-06-18 DOI:10.1007/s10029-025-03393-w

Natasha A Sioda, Hugo E Vargas, Jill L Weidknecht, Kristi L Harold

{"title":"Using the Alfapump® to control ascites enabling elective umbilical hernia repair: A case report.","authors":"Natasha A Sioda, Hugo E Vargas, Jill L Weidknecht, Kristi L Harold","doi":"10.1007/s10029-025-03393-w","DOIUrl":null,"url":null,"abstract":"Purpose: Umbilical hernia repair in patients with medically refractory ascites poses a significant challenge for clinicians. Optimization of ascites prior to surgical intervention is recommended due to improved post-operative outcomes. The alfapump® is a battery-operated device that directs ascites into the bladder for excretion and can be utilized in patients with medically refractory ascites. We present a patient with medically refractory ascites that underwent implantation of the alfapump® allowing for elective umbilical hernia repair.Methods: A 70-year-old male with medically refractory ascites in the setting of a recurrent symptomatic umbilical hernia underwent implantation of the alfapump®.Results: The patient was followed in the outpatient setting and maintained adequate control of his ascites following implantation of the alfapump® device. He subsequently underwent a robotic repair of his umbilical hernia. Post-operatively, the patient did not experience a recurrence or complications related to the hernia repair.Conclusion: Hernia repair in the setting of medically refractory ascites pose a challenge for surgeons. The implantation of the alfapump® may be a viable option to control medically refractory ascites allowing for elective hernia repair.","PeriodicalId":13168,"journal":{"name":"Hernia","volume":"29 1","pages":"209"},"PeriodicalIF":2.4000,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Hernia","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s10029-025-03393-w","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"SURGERY","Score":null,"Total":0}

引用次数: 0

Abstract

Purpose: Umbilical hernia repair in patients with medically refractory ascites poses a significant challenge for clinicians. Optimization of ascites prior to surgical intervention is recommended due to improved post-operative outcomes. The alfapump® is a battery-operated device that directs ascites into the bladder for excretion and can be utilized in patients with medically refractory ascites. We present a patient with medically refractory ascites that underwent implantation of the alfapump® allowing for elective umbilical hernia repair.

Methods: A 70-year-old male with medically refractory ascites in the setting of a recurrent symptomatic umbilical hernia underwent implantation of the alfapump®.

Results: The patient was followed in the outpatient setting and maintained adequate control of his ascites following implantation of the alfapump® device. He subsequently underwent a robotic repair of his umbilical hernia. Post-operatively, the patient did not experience a recurrence or complications related to the hernia repair.

Conclusion: Hernia repair in the setting of medically refractory ascites pose a challenge for surgeons. The implantation of the alfapump® may be a viable option to control medically refractory ascites allowing for elective hernia repair.

查看原文本刊更多论文

使用Alfapump®控制腹水，实现选择性脐疝修复：1例报告。

目的：难治性腹水患者脐疝修补对临床医生提出了重大挑战。由于术后预后的改善，建议在手术干预前对腹水进行优化。alfapump®是一种电池驱动的装置，可将腹水引导到膀胱中排泄，可用于难治性腹水患者。我们报告了一位难治性腹水患者，接受了alfapump®植入，允许选择性脐疝修复。方法：一名70岁男性，因难治性腹水并发复发性症状性脐疝，植入alfapump®。结果：患者在门诊接受了随访，并在植入alfapump®装置后保持了对腹水的适当控制。随后，他接受了机器人对脐疝的修复。术后，患者未出现复发或与疝修补相关的并发症。结论：难治性腹水疝修补对外科医生是一个挑战。植入alfapump®可能是一个可行的选择，以控制医学难治性腹水，允许选择性疝修补。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Hernia SURGERY-

CiteScore

4.90

自引率

26.10%

发文量

171

审稿时长

4-8 weeks

期刊介绍： Hernia was founded in 1997 by Jean P. Chevrel with the purpose of promoting clinical studies and basic research as they apply to groin hernias and the abdominal wall . Since that time, a true revolution in the field of hernia studies has transformed the field from a ”simple” disease to one that is very specialized. While the majority of surgeries for primary inguinal and abdominal wall hernia are performed in hospitals worldwide, complex situations such as multi recurrences, complications, abdominal wall reconstructions and others are being studied and treated in specialist centers. As a result, major institutions and societies are creating specific parameters and criteria to better address the complexities of hernia surgery. Hernia is a journal written by surgeons who have made abdominal wall surgery their specific field of interest, but we will consider publishing content from any surgeon who wishes to improve the science of this field. The Journal aims to ensure that hernia surgery is safer and easier for surgeons as well as patients, and provides a forum to all surgeons in the exchange of new ideas, results, and important research that is the basis of professional activity.