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Outcome of day-case inguinal hernia in elderly patients: how safe is it?
Surajit Sinha1, G Srinivas, J Montgomery
1Department of General Surgery, Torbay Hospital, Newton Road, Torquay, TQ2 7AA, UK. sinhasurajit@hotmail.com
Introduction:
Inguinal hernia repair is well established as a day-case procedure but little is reported about the outcome for elderly patients.
Methods:
A retrospective study was undertaken to compare a study group of patients aged 70 and above with a controlled group of patients aged less than 65 who had day-case inguinal hernia repair (Lichtenstein repair) between January 1996 and December 2004.
Results:
A total of 588 patients (282 in the elderly group and 306 in the control group) were studied. Although there were a larger number of higher-risk (ASA III) patients in the elderly group (P < 0.001), unplanned admission, postoperative symptoms, and satisfaction were comparable with those for the younger group.
Conclusion:
Day-case inguinal hernia repair can be safely offered to patients aged 70 and above.
