Alcoholic Cirrhosis Has Tense in Surgery — 58yo Man | General Surgery | SMLE Q#12191

SMLE Question #12191

Surgery General Surgery

Objective: OBJ-TRACH-EMERG-01

Last updated: February 2026
A 58-year-old man with alcoholic cirrhosis has tense ascites and a progressively enlarging umbilical swelling for several months with mild discomfort. Examination shows a large, soft, easily reducible umbilical hernia with a markedly distended abdomen and thin overlying skin. There is no ulceration, erythema, tenderness, bowel obstruction, or features of incarceration. What is the most appropriate management for his hernia at this time?

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