Feasibility of inguinal hernioplasty under local anaesthesia in elderly patients

BMC Surgery

Research Article

Rita Compagna¹  Francesca Fappiano¹  Roberto Rossi¹  Giovanni Martino¹  Bruno Amato¹  Tommaso Bianco¹  Guido Coretti¹  Gianni Antonio Della Corte¹  Giovanni Aprea¹  Alessandro Puzziello² 

[1] Department of General, Geriatric, Oncologic Surgery and Advanced Technologies, University of Naples Federico II, Via S. Pansini,5, 801311, Napoli, Italy;Departmet of Medical and Surgical Sciences, University Magna Graecia, Catanzaro, Italy;

关键词: Chronic Obstructive Pulmonary Disease;    Inguinal Hernia;    Urinary Retention;    Inguinal Hernia Repair;    Deep Sedation;   

DOI  :  10.1186/1471-2482-12-S1-S2

来源: Springer

【 摘 要 】

BackgroundThe aim of this study is to evaluate the feasibility and the safety of hernioplasty under local anaesthesia in elderly patients with significant comorbidity.MethodsA total of 218 patients underwent inguinal hernia repair with mesh between June 2009 and July 2012. Presence of comorbid conditions and complications were compared between patients younger and older than 70 years.ResultsHernia repair in older patients were more likely associated with comorbid conditions than in their younger counterparts ( hypertension: 25% vs 8.16%; cardiovascular diseases: 50% vs 22%; benign prostatic hypertrophy 60% vs 30%). The most common postoperative complications in both groups were recurrence, wound infection, urinary retention. There was a slightly higher rate of complication in elderly group.ConclusionsInguinal hernia repair with local anaesthesia is quite safe and results in a good success rate in elderly patients despite a higher rate of comorbidity typical of this kind of patient.

【 授权许可】

CC BY   
© Amato et al; licensee BioMed Central Ltd. 2012