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Improvement of quality of life in elderly after inguinal hernioplasty

Authors
Journal
BMC Geriatrics
1471-2318
Publisher
Springer (Biomed Central Ltd.)
Publication Date
Volume
11
Identifiers
DOI: 10.1186/1471-2318-11-s1-a44
Source
Legacy
Keywords
  • Meeting Abstract
Disciplines
  • Medicine

Abstract

Improvement of quality of life in elderly after inguinal hernioplasty MEETING ABSTRACT Open Access Improvement of quality of life in elderly after inguinal hernioplasty Rodalia Patti, Paolo Aiello, Gaetano Di Vita* From XXIII Annual Meeting of the Italian Society of Geriatric Surgery Lecce, Italy. 2-4 December 2010 Background Inguinal hernia represents one of the most common dis- eases in the elderly. It causes aching and unsightly swel- ling affecting quality of life (QOL), with a concomitant risk of strangulation. Despite this, an assumption of the risks of surgery may lead clinicians, particularly non-sur- geons, to advise elderly patients against the repair of hernia, especially if asymptomatic [1]. The aim of this study was to evaluate QOL by a short Form 36 (SF-36) questionnaire [2] in elderly patients undergoing inguinal hernioplasty. Materials and methods Forty male patients of an age ranging from 65 to 92 years affected by unilateral symptomatic inguinal hernia were included and divided into two groups . 15 patients were allocated to the first group who refused hernio- plasty, whereas, 25 patients who underwent to elective Liechtenstein hernioplasty were included in the second group, using a high density polypropylene mesh, under local anaesthesia. The SF-36 questionnaire was adminis- tered to all patients (both surgically treated and untreated ones) included in the study before and 6 months after surgery. Global analyses of the 8 domains of SF-36 and 2 comprehensive indexes of SF-36, Physi- cal Component Summary (PCS) and Mental Component Summary (MCS) were performed. Results The two groups of patients were similar in age, type of hernia according to Nyhus, duration of disease and anaesthesiologic risk according to ASA and Barthel and Charlson index. Liechtenstein hernioplasty caused no major complications. One patient from the untreated group underwent emergency surgery for hernia strangu- lation. All 8 domains of SF-36 and MCS and PCS scores improved remarkably

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