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Published on: December 23, 2022
Laparoscopic versus open inguinal hernia repair in octogenarians
J Hernandez-Rosa1, C C Lo, J J Choi
1Department of Surgery, The Mount Sinai School of Medicine, One Gustave L. Levy Place, Box 1259, New York, NY 10029, USA.
Summary
For patients over 80, laparoscopic inguinal hernia repair is a safe alternative to open repair, showing comparable morbidity and mortality rates. This minimally invasive approach offers similar outcomes for elderly individuals undergoing hernia surgery.
Area of Science:
- Surgical outcomes research
- Geriatric surgery
- Minimally invasive surgery
Background:
- Inguinal hernias are common, particularly in the elderly.
- Surgical repair is the standard treatment.
- The optimal surgical approach for octogenarians remains a subject of investigation.
Purpose of the Study:
- To compare outcomes between open and laparoscopic inguinal hernia repair in patients aged 80 and older.
- To evaluate the safety and efficacy of minimally invasive techniques in this specific demographic.
Main Methods:
- Retrospective chart review of 104 patients over 80 years old who underwent inguinal hernia repair between 2005 and 2008.
- Patients were divided into open repair (n=73) and laparoscopic repair (n=31) cohorts.
- Comparison of peri-operative complications, morbidity, and mortality between the two groups.
Main Results:
- Mean age was 84 years for open repair and 83 years for laparoscopic repair.
- American Society of Anesthesiologists scores were comparable (2.6 vs. 2.3, P < 0.05).
- No statistically significant difference in peri-operative complications or mortality was observed between the open and laparoscopic groups.
Conclusions:
- Laparoscopic inguinal hernia repair is a safe alternative for octogenarians.
- The procedure offers comparable morbidity and mortality rates to open repair in elderly patients.
- Minimally invasive surgery is a viable option for inguinal hernia repair in the over-80 population.