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Comparing laparoscopic and open inguinal hernia repair in octogenarians
1Department of Surgery, South East Area Health Education Center, New Hanover Regional Medical Center, 2131 South 17th Street, PO Box 9025, Wilmington, NC, 28401, USA, william.hope@seahec.net.
Hernia : the Journal of Hernias and Abdominal Wall Surgery
|November 8, 2012
Summary
Laparoscopic and open inguinal hernia repair in elderly patients show similar safety and outcomes. Both surgical methods are effective for octogenarians, with low recurrence rates and no significant differences in morbidity or mortality.
Area of Science:
- Geriatric Surgery
- Minimally Invasive Surgery
- Abdominal Wall Reconstruction
Background:
- Inguinal hernias are common in the elderly population.
- Surgical repair is the standard treatment for inguinal hernias.
- Laparoscopic and open surgical approaches are available for inguinal hernia repair.
Purpose of the Study:
- To compare the outcomes of laparoscopic versus open inguinal hernia repair in patients aged 80 years and older.
- To evaluate safety and efficacy of both surgical techniques in the octogenarian population.
Main Methods:
- Retrospective review of patients aged 80+ undergoing open or laparoscopic inguinal hernia repair between October 2006 and July 2009.
- Statistical analysis including Fisher's exact test, Wilcoxon rank-sum test, and Student's t test.
- Comparison of outcomes such as age, gender, hernia type, anesthesia, operating room time, morbidity, and recurrence.
Main Results:
- No significant differences in age, gender, ASA score, operating room time, urine output, morbidity, or mortality between laparoscopic and open repair groups.
- Laparoscopic repair was associated with a higher rate of bilateral hernias and general anesthesia.
- A single hernia recurrence was observed in the open repair group after an average follow-up of 19 months.
Conclusions:
- Both laparoscopic and open inguinal hernia repair are safe and effective procedures for octogenarian patients.
- Despite some differences in patient selection and anesthesia, outcomes are comparable between the two surgical approaches.
- The study supports the use of either technique based on patient-specific factors and surgeon expertise.