Introducere.Herniile ventrale sunt frecvent întâlnite la bolnavii cu hipertensiune portală. Manage-mentul acestor bolnavi este nedefinit.Scopul lucrării.Aprecierea indicațiilor catre tratamentul chirurgical planic sau urgent in hiperten-siunea portală, volumul intervenției chirurgicale si managementul postchirurgical.Materialsi metode.Au fost analizate fișele medicale a 20 pacienți din secțiile chirurgicale in perioada 1 ianuarie 2015 –31 decembrie 2017in Spitalul Clinic Municipal nr.1 cu hernii ventrale asociate hipertensiunii portale. Tratați chirurgicalau fost 15 pacienți dintre care 1 –în mod urgent și 5 pacienți –conservator.Rezultate. Rata de succes a tratamentului chirurgical planic constitue 90%, dintre care 13% reinternați din cauza recidivei herniei ventrale si 10% decedați din cauza complicațiilor hernei ventrale.Concluzii.Herniile ventrale la bolnavii cu hipertensiune portala pot fi tratate chirurgical cu o ratăminimă a complicațiilor și incidența redusa a recidivei în cazuri bine selecționate.

Introduction.Ventral hernia is a common finding in portal hypertension. Optimal management of this patients is still undefined.Objective of the study.Indications and assessment of surgical planning and emergencies in portal hypertension as well as the volume of surgical intervention and postoperative management.Material and methods.The studies were based on 20 patients with medical history of ventral hernia and portal hypertension admitted on January 1, 2015 and December 31, 2017 in the Department of General Surgery from theClinical Municipal Hospital no. 1. 15 patients were treated surgically, of which one underwent an emergent surgical intervention and 5 patients were administered drug therapy.Results.The successful rate of planned surgery was 90%, of which 13% were re-admitted due to hernia recurrence during follow up period. 10% of patients died from complications of ventral hernia.Conclusions.Ventral hernias in patients with portal hypertension can be treated surgically with a low rate of complications and recurrence in well-selected cases.