INTRODUCTION: Inguinal hernia repair is well established as a day-case procedure but little is reported about the outcome for elderly patients. METHODS: A retrospective study was undertaken to compare a study group of patients aged 70 and above with a controlled group of patients aged less than 65 who had day-case inguinal hernia repair (Lichtenstein repair) between January 1996 and December 2004. RESULTS: A total of 588 patients (282 in the elderly group and 306 in the control group) were studied. Although there were a larger number of higher-risk (ASA III) patients in the elderly group (P < 0.001), unplanned admission, postoperative symptoms, and satisfaction were comparable with those for the younger group. CONCLUSION: Day-case inguinal hernia repair can be safely offered to patients aged 70 and above.
INTRODUCTION:Inguinal hernia repair is well established as a day-case procedure but little is reported about the outcome for elderly patients. METHODS: A retrospective study was undertaken to compare a study group of patients aged 70 and above with a controlled group of patients aged less than 65 who had day-case inguinal hernia repair (Lichtenstein repair) between January 1996 and December 2004. RESULTS: A total of 588 patients (282 in the elderly group and 306 in the control group) were studied. Although there were a larger number of higher-risk (ASA III) patients in the elderly group (P < 0.001), unplanned admission, postoperative symptoms, and satisfaction were comparable with those for the younger group. CONCLUSION: Day-case inguinal hernia repair can be safely offered to patients aged 70 and above.
Authors: Ewoud H Jutte; Huib A Cense; Alphons H M Dur; Michiel A J M Hunfeld; Biron Cramer; Roelf S Breederveld Journal: Surg Endosc Date: 2010-04-16 Impact factor: 4.584