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Outpatient repair for inguinal hernia in elderly patients: still a challenge?
Piergaspare Palumbo1, Chiara Amatucci1, Bruno Perotti1
1Department of Surgery "R. Paolucci", Policlinico Umberto I, "Sapienza" University of Rome, Rome, Italy.
Background:
Elective inguinal hernia repair as a day case is a safe and suitable procedure, with well-recognized feasibility. The increasing number of elderly patients requiring inguinal hernia repair leads clinicians to admit a growing number of outpatients. The aim of the current study was to analyze the outcomes (feasibility and safety) of day case treatment in elderly patients.
Methods:
Eighty patients >80 years of age and 80 patients ≤55 years of age underwent elective inguinal hernia repairs under local anesthesia.
Results:
There were no mortalities or major complications in the elderly undergoing inguinal herniorraphies as outpatients, and only one unanticipated admission occurred in the younger age group.
Conclusions:
Elective inguinal hernia repair in the elderly has a good outcome, and age alone should not be a drawback to day case treatment.

