Suárez FD, Mayagoitia GJC, Cisneros MHA

Language: Spanish
References: 16
Page: 30-34
PDF size: 49.90 Kb.

ABSTRACT

Objective: To assess the results of two tension-free techniques in patients older than 60 years.
Setting: Private institution.
Design: Retrospective, transversal study.
Patients and methods: We studied 129 patients from December 1997 to December 2001. Inclusion criteria were: Patients older than 60 years, with inguinal hernia, elective or emergency surgery. Excluded were those patients that did not accept the surgery and those presenting contraindication for surgery in the pre-surgical evaluation or with a severe medical problem. The following variables were analyzed: gender, age, site of the hernia, evolution time, concomitant diseases, hospital stay, complications and recurrences. Hernias were classified according to Gilbert.
Results: From the 129 studied patients, 122 were men and 7 women, all over the age of 60, range 60 to 92 years. Fifty patients had a left inguinal hernia, 77 a right one, one bilateral, and one femoral; average evolution time was of one year. Hundred fourteen were primary hernias and 15 recurrent ones. Concomitant diseases were present in 33 patients (25%), predominating cardiological pathologies. Peridural anesthesia was used in all patients. The hernia ring varied from 0.5 to 28 cm. Gilbert’s type II was the most frequent type of hernia with 40 patients. Seventy Lichtenstein-type (54%), 47 mesh-plug type (38%), nine double device (PHS), and one TAPP plasties were performed. Hospital stay varied from a couple of hours to three days; in 99 patients it was less than 5 hours. Morbidity was of 5%, no deaths occurred, and there have been two recurrences after 42 months of follow-up.
Conclusion: The use of tension-free techniques offers good results in elderly patients.

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