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Hernia repair in elderly patients

E Gianetta1, F de Cian, S Cuneo

  • 1Department of Surgery, University of Genoa School of Medicine, Italy.

The British Journal of Surgery
|July 1, 1997
PubMed
Summary

Mesh hernia repair under local anesthesia is safe and effective for elderly patients. Elective repair is recommended, avoiding emergency surgery complications.

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Area of Science:

  • Geriatric Surgery
  • Surgical Innovation
  • Hernia Repair Techniques

Background:

  • Focuses on the 5-year management experience of common abdominal wall hernias in an elderly demographic.
  • Highlights the prevalence of concomitant diseases in this patient group.

Purpose of the Study:

  • To evaluate the safety and efficacy of mesh hernia repair in elderly patients.
  • To assess the outcomes of local anesthesia for elective hernia repair in this population.

Main Methods:

  • Retrospective analysis of 221 elderly patients (mean age 74) undergoing repair of inguinal, femoral, and umbilical hernias.
  • Utilized mesh repair techniques (tension-free, plug) in the majority of cases; conventional methods (Bassini, Shouldice) used selectively.
  • Performed 232 operations, with a significant portion under local anesthesia, including emergency repairs for strangulation.

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Main Results:

  • No perioperative mortality observed.
  • Low rates of local complications: scrotal hematomas (2%), wound infections (1%).
  • No recurrences reported with mesh repair, contrasting with conventional methods.

Conclusions:

  • Local anesthetic mesh hernia repair is a safe and effective option for elderly patients.
  • Age should not be a contraindication for elective hernia repair.
  • This approach can mitigate complications associated with emergency surgical interventions.