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Application of Straight-needle, Three-tailed, Knot-free, Peritoneal Sutures in Laparoscopic Transabdominal Preperitoneal Hernia Repair
Published on: November 12, 2021
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Learning How Preoperative Communication Relates to Postoperative Experiences for Older Veterans Having Inguinal
Melissa A Thornton1,2, Elisa L Marten3,4,5, Nicole Lunardi1,2
1Department of Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Journal of the American Geriatrics Society
|November 26, 2025
Summary
Inguinal hernia repair improves outcomes for older adults, but clearer communication about recovery is needed. This study highlights patient experiences to enhance surgical preparation and decision-making for elderly men.
Area of Science:
- Geriatric Surgery
- Surgical Outcomes Research
- Patient-Centered Care
Background:
- Assessing the impact of inguinal hernia repair on older adults is crucial for informed decision-making.
- Improving surgeon communication regarding surgical benefits and postoperative recovery is essential for this demographic.
Purpose of the Study:
- To understand the effects of inguinal hernia repair on older adults.
- To identify methods for enhancing preoperative counseling and postoperative preparation for elderly patients undergoing hernia surgery.
Main Methods:
- Conducted semi-structured interviews with 40 male Veterans aged 65 and older.
- Participants had undergone inguinal hernia repair at Veterans Affairs hospitals.
Main Results:
- Veterans desired improved listening during preoperative counseling and clearer communication about postoperative recovery.
- Most patients returned to baseline function within 2 days to 6 weeks; two experienced short-term cognitive dysfunction.
- Dissatisfaction with preoperative communication correlated with surprise or concern regarding postoperative symptoms.
Conclusions:
- Hernia repair significantly impacts older adults' lives, providing valuable insights for patient preparation.
- Enhanced communication can help older adults decide if surgery meaningfully improves their quality of life.
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