PMID: 15252393Jul 15, 2004Paper

Inguinal hernia in the elderly. Indications, techniques, results

Minerva chirurgica
A GaravelloD Antonellis

Abstract

Inguinal hernia in the elderly is a quite common problem in general surgery. Surgical treatment must be aware of the cardiovascular and respiratory pathology these patients are often affected by and, on the other side, the goal of surgery is a quick functional recovery after the operation using the "tension free" technique and, whenever possible, local anesthesia. In this paper personal experience on inguinal hernioplasty in elderly patients (>65 years) is presented; the aim is a better definition of the indications to surgery and anesthesia and verify the results of surgical treatment. From January 1999 to December 2002 our group operated 317 patients with inguinal hernia; 123 patients were over 65 (119 male, 4 female, age from 65 to 101 years, mean 74); in this group 111 Lichtenstein and 12 Trabucco HPL were performed. There were 89 primitive hernias, 17 recurrences and 17 emergency operation. Local anesthesia was the method of choice except for obese patients, obstruction or strangulation, or patient's preference. In giant hernia, or when a large sac was found, the Wantz technique was performed (13 patients); a suction drainage was used if a large space in the inguinoscrotal area remained after hernia reduction (9 patients)....Continue Reading

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