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Revista argentina de cirugía
versión impresa ISSN 2250-639Xversión On-line ISSN 2250-639X
Resumen
TURCHI, Matías J. et al. Ambulatory inguinal hernia repair in elderly patients. Comparative study of patients over and under 80 years. Rev. argent. cir. [online]. 2020, vol.112, n.3, pp.293-302. ISSN 2250-639X. http://dx.doi.org/10.25132/raac.v112.n3.1450.es.
Background:
Octogenarians are a demographically growing group. This increase in life expectancy of ten makes surgeons face older patients with inguinal hernia.
Objective:
The aim of this study was to analyze the applicability, safety and efficacy of ambulatory inguinal hernia in patients > 80 years,
Material and methods:
We conducted a retrospective and observational cohort study. Data from all the open inguinal hernia repair procedures performed using the Lichtenstein technique between January 2008 and December 2017 and followed-up after one month were analyzed. These patients were retrospectively compared with similar patients aged 50-79 years who were treated during the same period.
Results:
Between 2008 and 2017, 491 patients admitted in the Major Ambulatory Surgery program underwent inguinal hernia repair using the Lichtenstein technique. 133 (27.1%) were > 80 years and 358 (72.9%) were between 50 and 79 years. Overall postoperative morbidity was 9.75% (13.5% in > 80 years and 8.4% in the control group; p = NS). There were no significant differences in unanticipated mortality (3.8% vs. 2.8%un the control group, p = NS).
Conclusion:
Ambulatory surgery for open inguinal hernia repair in patients > 80 years is a safe and effective strategy.
Palabras clave : Inguinal Hernia; Herniorrhaphy; Lichtenstein; Surgery day..