title: Inguinal hernioplasty improves the quality of life in patients with cirrhosis.
abstract: BACKGROUND
  The optimal management of symptomatic inguinal hernia (SIH) in cirrhotics is still undefined. Both hernia and cirrhosis impair quality of life (QOL). The aim of this study was to evaluate QOL by a Short Form-36 (SF-36) questionnaire in cirrhotic patients undergoing inguinal hernioplasty.
  
  
  METHODS
  Thirty-two cirrhotic patients undergoing inguinal hernioplasty were evaluated. They were classified according to Child's class and to the absence or presence of refractory ascites. The SF-36 questionnaire was administered the day before and 6 months after surgery. Global analyses of the 8 domains of SF-36 and of 2 comprehensive indexes of SF-36, Physical Component Summary (PCS) and Mental Component Summary (MCS), were performed.
  
  
  RESULTS
  Lichtenstein hernioplasty for SIH originated no major complications. All 8 domains of SF-36 and MCS and PCS scores improved remarkably after hernioplasty especially in patients in Child's class C and/or with refractory ascites.
  
  
  CONCLUSIONS
  Inguinal hernioplasty for SIH in patients with cirrhosis is a safe procedure. The improvement of QOL represents a clear cut indication for elective hernia repair.
authors.affiliation: General Surgery Unit, Department of Surgical and Oncological Sciences, University of Palermo, Via Liborio Giuffrè no 5, 90100 Palermo, Italy.
authors.forename: Rosalia
authors.initials: R
authors.lastname: Patti
authors.forename: Piero Luigi
authors.initials: PL
authors.lastname: Almasio
authors.forename: Salvatore
authors.initials: S
authors.lastname: Buscemi
authors.forename: Fausto
authors.initials: F
authors.lastname: Famà
authors.forename: Antonio
authors.initials: A
authors.lastname: Craxì
authors.forename: Gaetano
authors.initials: G
authors.lastname: Di Vita
mesh_terms: D000328:Adult; D006552:Hernia, Inguinal / Q000150:complications / Q000601:surgery*; D006801:Humans; D008103:Liver Cirrhosis / Q000150:complications*; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D011788:Quality of Life