Laparoscopic versus open inguinal hernia repair in octogenarians

被引:22
作者
Hernandez-Rosa, J. [1 ]
Lo, C. C. [1 ]
Choi, J. J. [1 ]
Colon, M. J. [1 ]
Boudourakis, L. [1 ]
Telem, D. A. [1 ]
Divino, C. M. [1 ]
机构
[1] Mt Sinai Sch Med, Dept Surg, New York, NY 10029 USA
关键词
Inguinal hernia; Octogenarians; Urinary retention; Herniorrhaphy; URINARY RETENTION; RISK-FACTORS; LICHTENSTEIN; HERNIORRHAPHY; MORTALITY;
D O I
10.1007/s10029-011-0838-5
中图分类号
R61 [外科手术学];
学科分类号
摘要
This retrospective chart review was designed to compare outcomes for open and laparoscopic repair of inguinal hernias in the population over the age of 80. A retrospective chart review was conducted for 104 patients over 80 years old who underwent inguinal hernia repair (2005-2008) at The Mount Sinai Medical Center. Patients were grouped into laparoscopic or open repair cohorts and compared accordingly. The open group (n = 73) and the laparoscopic group (n = 31) had mean ages of 84 and 83 years, respectively. The mean American Society of Anesthesiologists score was 2.6 for the open cohort and 2.3 for the laparoscopic group (P < 0.05). Peri-operative complications in the open and laparoscopic groups were not found to be statistically significant. There was no mortality in either group. With octogenarians, laparoscopic inguinal hernia repair can be performed as a safe alternative to open repair with comparable rates of morbidity and mortality.
引用
收藏
页码:655 / 658
页数:4
相关论文
共 18 条
[1]  
BAILEY HR, 1976, DIS COLON RECTUM, V19, P250
[2]  
Deeba S, 2009, JSLS-J SOC LAPAROEND, V13, P327
[3]   Long-term cost-minimization analysis comparing laparoscopic with open (Lichtenstein) inguinal hernia repair [J].
Eklund, A. ;
Carlsson, P. ;
Rosenblad, A. ;
Montgomery, A. ;
Bergkvist, L. ;
Rudberg, C. .
BRITISH JOURNAL OF SURGERY, 2010, 97 (05) :765-771
[4]   Bilateral inguinal hernia repair: laparoscopic or open approach? [J].
Feliu, X. ;
Claveria, R. ;
Besora, P. ;
Camps, J. ;
Fernandez-Sallent, E. ;
Vinas, X. ;
Abad, J. M. .
HERNIA, 2011, 15 (01) :15-18
[5]   Postherniorrhaphy urinary retention - Effect of local, regional, and general anesthesia: A review [J].
Jensen, P ;
Mikkelsen, T ;
Kehlet, H .
REGIONAL ANESTHESIA AND PAIN MEDICINE, 2002, 27 (06) :612-617
[6]   Hernias: inguinal and incisional [J].
Kingsnorth, A ;
LeBlanc, K .
LANCET, 2003, 362 (9395) :1561-1571
[7]   Incidence and risk factors for urinary retention after endoscopic hernia repair [J].
Koch, CA ;
Grinberg, GG ;
Farley, DR .
AMERICAN JOURNAL OF SURGERY, 2006, 191 (03) :381-385
[8]   Day-case inguinal hernia repair in the elderly: a surgical priority [J].
Kurzer, M. ;
Kark, A. ;
Hussain, S. T. .
HERNIA, 2009, 13 (02) :131-136
[9]   Total Extraperitoneal Inguinal Hernia Repair Compared With Lichtenstein (the LEVEL-Trial) A Randomized Controlled Trial [J].
Langeveld, Hester R. ;
van't Riet, Martijne ;
Weidema, Wibo F. ;
Stassen, Laurents P. S. ;
Steyerberg, Ewout W. ;
Lange, Johan ;
Bonjer, Hendrik J. ;
Jeekel, Johannes .
ANNALS OF SURGERY, 2010, 251 (05) :819-824
[10]   Inguinal hernia repair: Incidence of elective and emergency surgery, readmission and mortality [J].
Primatesta, P ;
Goldacre, MJ .
INTERNATIONAL JOURNAL OF EPIDEMIOLOGY, 1996, 25 (04) :835-839