Groin herniorrhaphy in patients with cirrhosis and after liver transplantation

Elise H. Lawson, Elizabeth Benjamin, Ronald W. Busuttil, Jonathan R. Hiatt

Research output: Contribution to journalArticlepeer-review

15 Scopus citations

Abstract

We report on 43 groin herniorrhaphy operations, 18 in 18 patients with documented cirrhosis and 25 in 24 patients after liver transplantation (LT), over a 10-year period at UCLA. Average follow up was 33 months. Most patients were males (84%) with reducible inguinal hernias (70%). Child's class of cirrhotic patients was B in 66 per cent and A and C in 17 per cent each; 7 patients (39%) went on to LT. Compared with post-LT patients, patients with cirrhosis had significantly lower platelets and significantly higher bilirubin, international normalized ratio, and Model for End-stage Liver Disease scores. Mesh was used in 33 per cent of the cirrhotic group and 48 per cent of the LT group. There were four minor wound complications but no deaths, major complications, infections, or ascitic leaks in either group. Two hernias recurred in the cirrhosis group (11%) and none after LT. We conclude that with proper patient selection, groin herniorrhaphy with or without mesh is a safe and durable procedure in patients with cirrhosis and after LT. This is the first large series of groin herniorrhaphy after LT.

Original languageEnglish (US)
Pages (from-to)962-965
Number of pages4
JournalAmerican Surgeon
Volume75
Issue number10
StatePublished - Oct 2009

ASJC Scopus subject areas

  • Surgery

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