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[Inguinal hernia in the elderly. Indications, techniques, results].
A Garavello1, S Manfroni, D Antonellis
1Divisione di Chirurgia Generale, Ospedale San Giuseppe, ASL RMH, Marino (Rome). garavello.alberto@infinito.it
Minerva Chirurgica
|July 15, 2004
Summary
Inguinal herniorrhaphy in elderly patients (>65 years) is safe and effective. Local anesthesia is a viable option, even for those with cardiovascular issues, leading to mild complications and quick recovery.
Area of Science:
- General Surgery
- Geriatric Surgery
- Hernia Repair
Context:
- Inguinal hernias are common in the elderly, often presenting with comorbidities.
- Surgical treatment requires careful consideration of patient health and functional recovery.
- Tension-free techniques and local anesthesia are preferred for elderly patients.
Purpose:
- To present personal experience with inguinal hernioplasty in patients over 65.
- To define surgical and anesthesia indications for elderly patients with inguinal hernias.
- To evaluate the outcomes of surgical treatment in this demographic.
Summary:
- A study of 123 elderly patients (age >65) undergoing inguinal hernioplasty (111 Lichtenstein, 12 Trabucco).
- Local anesthesia was used in 87 patients; 111 Lichtenstein and 12 Trabucco HPL procedures were performed.
- Complications were mild (9%), with no postoperative deaths or ischemic orchitis.
Impact:
- Inguinal herniorrhaphy is safe in the elderly, with local anesthesia proving effective even for those with cardiovascular issues.
- Local complications are mild and manageable, with recurrent hernias potentially increasing risk.
- Suction drainage and the Wantz technique may reduce complications and operative time.