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Is old age a contraindication to elective ventral hernia repair?
Ruel Neupane1, Mojtaba Fayezizadeh1, Arnab Majumder1
1Department of Surgery, Cleveland Comprehensive Hernia Center, University Hospitals Cleveland Medical Center, 11100 Euclid Avenue, Cleveland, OH, 44106, USA.
Surgical Endoscopy
|March 26, 2017
Summary
Elective ventral hernia repair (VHR) is safe and effective for patients over 70. Advanced age should not prevent elderly individuals from undergoing this common surgical procedure.
Area of Science:
- Geriatric Surgery
- Abdominal Wall Reconstruction
- Surgical Outcomes
Background:
- Ventral hernia repair (VHR) is common in aging populations.
- Advanced age is often considered a contraindication for elective hernia surgery.
- This study investigates VHR outcomes in elderly patients.
Purpose of the Study:
- To analyze the safety and effectiveness of elective VHR in patients over 70 years old.
- To evaluate postoperative complications and recurrence rates in this cohort.
Main Methods:
- Retrospective review of 263 patients over 70 undergoing elective VHR.
- Data collected on postoperative complications, readmissions, and recurrence.
- Comparison of outcomes between open and laparoscopic repair methods.
Main Results:
- 54 patients (21%) experienced surgical site events.
- Postoperative complications included VTE, MI, critical care admission, and mortality.
- Recurrence rates were 17 in the open group and 6 in the laparoscopic group at mean follow-up of 25.6 months.
Conclusions:
- Ventral hernia repair is safe and effective in elderly patients over 70.
- Laparoscopic VHR may offer reduced morbidity.
- Age alone should not be a contraindication for elective VHR.
