The outcomes of open tension-free hernioplasty in elderly patients

被引：8
作者：
Beltrán M.A. [1 ,2 ]
Cruces K.S. [1 ]
机构：
[1] Department of Surgery, Hospital De Ovalle, Ovalle
[2] Ovalle, IV Region
来源：
Hernia | 2006年 / 10卷 / 5期
关键词：
Elderly patients; Inguinal hernia; Lichtenstein; Open tension-free hernioplasty;
D O I：
10.1007/s10029-006-0121-3
中图分类号：
学科分类号：
摘要：
Background: The outcomes of open tension-free hernioplasty have been evaluated for elderly patients and compared with other techniques without prosthesis or analyzed in elderly patients without a control group constituted by younger patients. Our aim was to compare the outcomes of open tension-free hernioplasty between elderly patients and younger patients applying the recently developed Quantitative and Qualitative Measurement Instrument (QQMI). Methods: From January 1997 to December 2003, 731 male patients were electively operated on for inguinal hernia at our institution. We studied 688 patients (94%). Forty-three (6%) were excluded: 12 died of causes unrelated to inguinal surgery and 31 were lost to follow-up. The follow-up period ranged from 22 to 106 months, mean 87 ± 8.5 months. Results: Recurrence developed in seven patients(1%): six were patients younger than 70 years old. The final mean QQMI score for patients younger than 70 years old was 10.4, significantly higher than the score of 8.9 for elderly patients. Conclusion: The outcomes of open tension-free hernioplasty were better in patients younger than 70 years old than the outcomes for elderly patients. © Springer-Verlag 2006.
引用
收藏
页码：395 / 400
页数：5
相关论文
共 30 条
  • [1] Lichtenstein I.L., Shulman A.G., Amid P.K., Montflor M., The tension-free hernioplasty, Am J Surg, 157, pp. 188-193, (1989)
  • [2] Hernandez-Granados P., Ontanon M., Lasala M., Garcia C., Arguello M., Medina I., Tension-free hernioplasty in primary inguinal hernia: A series of 2,054 cases, Hernia, 4, pp. 141-143, (2000)
  • [3] Bay-Nielsen M., Kehlet H., Strand L., Malmstrom J., Andersen F.H., Wara P., et al, Quality assessment of 26,304 herniorrhaphies in Denmark: A prospective nationwide study, Lancet, 358, pp. 1124-1128, (2001)
  • [4] Amid P.K., The Lichtenstein repair in 2002: An overview of causes of recurrence after Lichtenstein tension-free hernioplasty, Hernia, 7, pp. 13-16, (2003)
  • [5] Forte A., D'Urso A., Palumbo P., Lo Storto G., Gallinaro L.S., Bezzi M., Et al., Inguinal hernioplasty: The gold standard of hernia repair, Hernia, 7, pp. 35-38, (2003)
  • [6] Verstraete L., Swannet H., Long-term follow-up after Lichtenstein hernioplasty in a general surgical unit, Hernia, 7, pp. 185-190, (2003)
  • [7] Amid P.K., Lichtenstein tension-free hernioplasty: Its inception, evolution, and principles, Hernia, 8, pp. 1-7, (2004)
  • [8] Beltran M.A., Burgos C., Almonacid J., Larenas R., Tapia T., Vicencio A., Et al., Long-term follow-up of tension-free Lichtenstein Hernioplasty: Application of a qualitative-and-quantitative measurement instrument, Hernia, 9, pp. 368-374, (2005)
  • [9] Altamirano C., Catan F., Toledo G.C., Ormazabal J.B., Lagos C.C., Bonacic M.A., Et al., Cirugía abdominal de urgencia en el adulto mayor, Rev Chil Cir, 54, pp. 654-657, (2002)
  • [10] Rorbak-Madsen M., Herniorrhaphy in patients aged 80 years and more: A prospective analysis of morbidity and mortality, Eur J Surg, 158, pp. 591-594, (1992)
123