Inguinal hernias in patients of 50 years and above. Pattern and outcome

Abstract

ABSTRACT ABSTRACT ABSTRACTObjective: Objective: Objective: Objective: Objective: to evaluate a one year experience with inguinal hernia repair, in patients of > 50years, with respect to the type of inguinal hernia, type of surgery, postoperative complications and recurrence. Methods:Methods: Methods: Methods: Methods: a prospective descriptive study of patients (n=57) > 50 years operated for inguinal hernia during a one year period. Tension-free meshplasty and herniorrhaphy, using 3"x6" polypropylene mesh and 2-0 polypropylene suture, were performed in elective and emergency surgery respectively. Follow-up visits were scheduled at six weeks, three and six months postoperatively. Results:Results: Results: Results: Results: the most representative age group was 61-70 years, and all patients were male. 52 (91.22%) patients had unilateral inguinal hernias, while five (8.77%) had bilateral hernias. In 50 (87.71%) patients, the hernia was uncomplicated, while seven (12.28%) patients presented with some complication such as obstruction or strangulation. Elective surgery was performed in 50 (87.71%) patients while seven (12.28%) patients were operated in emergency. Postoperatively, 50 (87.7%) patients had uneventful recovery, while seven (12.28%) patients developed some complications which were treated conservatively. Mean hospital stay was six days. One recurrence was observed and there was no peri/postoperative death. Conclusion: Conclusion: Conclusion: Conclusion: Conclusion: tension-free meshplasty and herniorrhaphy are safe, simple and applicable even in elderly patients after adequate preoperative assessment and optimization. Although associated with longer hospital stay, the mortality rate is nil and complication as well as recurrence rate is low. Hence, timely repair is necessary in elderly patients even in those with comorbid conditions.

Pattern of inguinal hernia in Al- Basra teaching hospital: a prospective clinical study

“…In case of emergency surgery, most patients hospitalized for one to three days. In this study, male patients out-numbered female patients, the reason for the male predominance may be the inherent weakness of the abdominal wall where the spermatic cord passes through the inguinal canal, which consistent with the results of other studies [4][5][6][7]. We observed that 52 (20.8%) patients had a family history of inguinal hernia.…”

“…In this study, 60% of patient had right-sided hernia, fewer had left-side hernia, while bilateral hernia was the least common. Other studies have also reported similar results [5,10,11,14]. The right side is believed to be predominantly affected due to the delayed descent of the right testis and subsequence failure of closure of processus vaginalis [10,[15][16][17].…”

A comparison of Lichtenstein repair versus posterior wall repair plus mesh repair for direct inguinal hernias

“…Direct hernia was seen in 30 patients (52.63%) and indirect hernia was seen in 27 (47.36%) patients. 12 Direct inguinal hernia is more common in adult population as in present study.…”

Avaliação do impacto da dor crônica na qualidade de vida dos pacientes antes e após hernioplastia inguinal

“…A dor crônica após HPI está relacionada com a lesão tecidual e neuronal locais durante a cirurgia, assim como o processo cicatricial produzido pela sutura ou pela própria tela [12][13][14] . Esta complicação apresenta taxa de incidência que varia de 11% para 60,8% [15][16][17] , impactando na qualidade de vida do paciente. Dentre os fatores de risco que desenvolvem dor crônica, destacam-se fatores psicossociais, idade jovem e o elevado nível de dor antes da cirurgia [18][19][20][21] .…”