Outpatient repair for inguinal hernia in elderly patients: still a challenge?

Int J Surg. 2014:12 Suppl 2:S4-S7. doi: 10.1016/j.ijsu.2014.08.393. Epub 2014 Aug 24.

Abstract

Background: Elective inguinal hernia repair as a day case is a safe and suitable procedure, with well-recognized feasibility. The increasing number of elderly patients requiring inguinal hernia repair leads clinicians to admit a growing number of outpatients. The aim of the current study was to analyze the outcomes (feasibility and safety) of day case treatment in elderly patients.

Methods: Eighty patients >80 years of age and 80 patients ≤55 years of age underwent elective inguinal hernia repairs under local anesthesia.

Results: There were no mortalities or major complications in the elderly undergoing inguinal herniorraphies as outpatients, and only one unanticipated admission occurred in the younger age group.

Conclusions: Elective inguinal hernia repair in the elderly has a good outcome, and age alone should not be a drawback to day case treatment.

Keywords: Day surgery; Elderly; Inguinal hernia.

MeSH terms

  • Adult
  • Age Factors
  • Aged, 80 and over
  • Ambulatory Surgical Procedures / methods*
  • Anesthesia, Local / methods
  • Elective Surgical Procedures / methods
  • Feasibility Studies
  • Female
  • Hernia, Inguinal / surgery*
  • Herniorrhaphy / methods*
  • Hospitalization / statistics & numerical data
  • Humans
  • Male
  • Middle Aged
  • Postoperative Complications*
  • Retrospective Studies
  • Young Adult